Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $11,167.10 / $17,982.50	Facility		$5,754.40	$11,167.10	$17,982.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,035.10 / $5,754.40 / $10,383.79	Professional		$5,035.10	$5,754.40	$10,383.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,351.42 / $7,768.44 / $12,729.45	Facility		$6,351.42	$7,768.44	$12,729.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.20 / $3,481.41 / $9,976.69	Professional		$2,877.20	$3,481.41	$9,976.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $8,991.25 / $10,789.50	Facility		$7,193.00	$8,991.25	$10,789.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,350.90 / $9,710.54 / $17,263.20	Professional		$9,350.90	$9,710.54	$17,263.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,419.39 / $7,405.91 / $41,050.44	Facility		$6,419.39	$7,405.91	$41,050.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,283.54 / $5,505.75 / $13,935.42	Professional		$3,283.54	$5,505.75	$13,935.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,419.39 / $7,405.91 / $48,494.23	Facility		$6,419.39	$7,405.91	$48,494.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,283.54 / $4,028.08 / $13,935.42	Professional		$3,283.54	$4,028.08	$13,935.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $5,934.22 / $7,822.38	Professional		$60.00	$5,934.22	$7,822.38
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $4,315.80 / $12,228.10	Professional		$3,021.06	$4,315.80	$12,228.10