Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $6,426.38 / $9,375.00	Facility		$3,000.00	$6,426.38	$9,375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.21 / $3,000.00 / $5,413.50	Professional		$2,044.21	$3,000.00	$5,413.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.25 / $4,050.00 / $6,636.38	Facility		$3,311.25	$4,050.00	$6,636.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,371.52 / $1,692.00 / $4,867.50	Professional		$1,371.52	$1,692.00	$4,867.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $4,687.50 / $5,625.00	Facility		$3,750.00	$4,687.50	$5,625.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,875.00 / $5,062.50 / $9,000.00	Professional		$4,875.00	$5,062.50	$9,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,858.56 / $4,265.63 / $21,401.25	Facility		$3,858.56	$4,265.63	$21,401.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,715.66 / $2,017.78 / $8,161.24	Professional		$1,715.66	$2,017.78	$8,161.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,858.56 / $4,265.63 / $21,401.25	Facility		$3,858.56	$4,265.63	$21,401.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,715.66 / $2,017.78 / $8,161.24	Professional		$1,715.66	$2,017.78	$8,161.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.53 / $2,250.00 / $4,952.63	Professional		$1,226.53	$2,250.00	$4,952.63