Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,444.00 / $7,342.00 / $11,627.00	Facility		$3,444.00	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,515.14 / $3,682.74 / $4,319.49	Professional		$2,515.14	$3,682.74	$4,319.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,313.00 / $25,522.00	Facility		$1,425.00	$4,313.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,251.17 / $1,636.83 / $2,433.16	Professional		$1,251.17	$1,636.83	$2,433.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,756.05 / $50,264.76 / $91,553.67	Facility		$3,756.05	$50,264.76	$91,553.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,225.55 / $63,383.31 / $111,852.90	Professional		$4,225.55	$63,383.31	$111,852.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $11,330.88 / $19,115.70	Facility		$530.00	$11,330.88	$19,115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,665.76 / $6,665.76 / $6,665.76	Professional		$6,665.76	$6,665.76	$6,665.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $11,330.88 / $14,240.39	Facility		$530.00	$11,330.88	$14,240.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6,665.76 / $6,665.76 / $6,665.76	Professional		$6,665.76	$6,665.76	$6,665.76
United Facility/Professional Facility Modifier Low / Median / High Price $14,494.11 / $14,858.47 / $15,893.80	Facility		$14,494.11	$14,858.47	$15,893.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,376.58 / $4,453.09 / $6,719.44	Professional		$3,376.58	$4,453.09	$6,719.44