Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.33 / $12,000.00 / $36,960.00	Facility		$1,508.33	$12,000.00	$36,960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.09 / $9,600.00 / $11,400.00	Professional		$998.09	$9,600.00	$11,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,220.74 / $5,258.00 / $8,459.17	Facility		$4,220.74	$5,258.00	$8,459.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $4,800.00 / $12,000.00	Professional		$800.00	$4,800.00	$12,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,030.00 / $12,600.00 / $18,000.00	Facility		$9,030.00	$12,600.00	$18,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,200.00 / $15,600.00 / $28,800.00	Professional		$10,200.00	$15,600.00	$28,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,340.11 / $12,347.40 / $40,950.00	Facility		$3,340.11	$12,347.40	$40,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,490.07 / $7,800.00 / $23,248.72	Professional		$5,490.07	$7,800.00	$23,248.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,124.38 / $12,355.20 / $46,411.05	Facility		$6,124.38	$12,355.20	$46,411.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,490.07 / $6,457.03 / $26,116.76	Professional		$5,490.07	$6,457.03	$26,116.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,000.00 / $10,350.00 / $14,400.00	Professional		$9,000.00	$10,350.00	$14,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $7,200.00 / $19,356.00	Professional		$5,040.00	$7,200.00	$19,356.00