Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,179.68 / $9,822.25 / $16,091.80	Facility		$4,179.68	$9,822.25	$16,091.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,657.22 / $4,179.68 / $4,284.17	Professional		$3,657.22	$4,179.68	$4,284.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,625.20 / $2,217.92 / $6,781.53	Professional		$1,625.20	$2,217.92	$6,781.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,224.60 / $15,281.96 / $122,255.60	Facility		$5,224.60	$15,281.96	$122,255.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,461.66 / $12,539.04 / $127,498.73	Professional		$5,461.66	$12,539.04	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,662.68 / $5,379.25 / $30,252.16	Facility		$4,662.68	$5,379.25	$30,252.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29,407.24 / $29,407.24 / $29,407.24	Professional		$29,407.24	$29,407.24	$29,407.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,662.68 / $5,379.25 / $30,252.16	Facility		$4,662.68	$5,379.25	$30,252.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,880.86 / $1,880.86 / $4,702.14	Facility		$1,880.86	$1,880.86	$4,702.14
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $3,134.76 / $6,900.13	Professional		$2,194.33	$3,134.76	$6,900.13