Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,332.54 / $12,302.69	Facility		$4,168.69	$9,332.54	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $8,912.51	Professional		$1,258.93	$1,778.28	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $60,255.96	Facility		$3,162.28	$8,511.38	$60,255.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,949.84	Professional		$870.96	$1,096.48	$1,949.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $29,512.09 / $51,286.14	Professional		$2,290.87	$29,512.09	$51,286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,467.37 / $6,606.93	Professional		$3,019.95	$3,467.37	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $26,302.68 / $47,863.01	Facility		$10,000.00	$26,302.68	$47,863.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $4,786.30	Professional		$1,659.59	$2,238.72	$4,786.30