Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $6,025.60	Facility		$2,344.23	$3,715.35	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,884.03	Professional		$1,513.56	$2,041.74	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $4,570.88	Facility		$2,290.87	$2,630.27	$4,570.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $3,311.31	Professional		$1,513.56	$1,698.24	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $34,673.69 / $52,480.75	Facility		$2,344.23	$34,673.69	$52,480.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $39,810.72 / $69,183.10	Professional		$3,090.30	$39,810.72	$69,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $5,248.07	Facility		$1,621.81	$1,621.81	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,235.94	Professional		$2,238.72	$2,884.03	$3,235.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $10,232.93	Facility		$1,698.24	$2,570.40	$10,232.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $5,011.87	Professional		$1,862.09	$2,630.27	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,238.72 / $2,511.89	Facility		$912.01	$2,238.72	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,884.03	Professional		$1,047.13	$1,513.56	$2,884.03