Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,098.40 / $5,591.06 / $9,682.50	Facility		$3,098.40	$5,591.06	$9,682.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $3,098.40 / $5,591.06	Professional		$2,711.10	$3,098.40	$5,591.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,419.86 / $4,182.84 / $6,854.05	Facility		$3,419.86	$4,182.84	$6,854.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,966.39 / $5,322.94	Professional		$1,549.20	$1,966.39	$5,322.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $4,841.25 / $5,809.50	Facility		$3,873.00	$4,841.25	$5,809.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,034.89 / $5,228.55 / $9,295.20	Professional		$5,034.89	$5,228.55	$9,295.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,456.46 / $3,987.64 / $22,425.95	Facility		$3,456.46	$3,987.64	$22,425.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.08 / $2,083.96 / $5,292.24	Professional		$1,764.08	$2,083.96	$5,292.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,456.46 / $3,987.64 / $22,425.95	Facility		$3,456.46	$3,987.64	$22,425.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,764.08 / $2,168.88 / $5,292.24	Professional		$1,764.08	$2,168.88	$5,292.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,049.98 / $3,485.70 / $4,211.88	Professional		$3,049.98	$3,485.70	$4,211.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $5,073.63	Professional		$1,626.66	$2,323.80	$5,073.63