Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,729.72 / $9,331.20 / $19,440.00	Facility		$5,729.72	$9,331.20	$19,440.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.40 / $6,220.80 / $8,164.80	Professional		$2,480.40	$6,220.80	$8,164.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,866.21 / $8,398.08 / $13,761.19	Facility		$6,866.21	$8,398.08	$13,761.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $371.80 / $10,093.24	Professional		$309.83	$371.80	$10,093.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,776.00 / $9,720.00 / $11,664.00	Facility		$7,776.00	$9,720.00	$11,664.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,108.79 / $10,497.60 / $18,662.40	Professional		$10,108.79	$10,497.60	$18,662.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,939.69 / $8,006.17 / $44,377.63	Facility		$6,939.69	$8,006.17	$44,377.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,758.65 / $6,998.33 / $15,065.14	Professional		$3,758.65	$6,998.33	$15,065.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,939.69 / $8,006.17 / $52,424.74	Facility		$6,939.69	$8,006.17	$52,424.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,758.65 / $4,354.56 / $15,065.14	Professional		$3,758.65	$4,354.56	$15,065.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,207.60 / $6,706.80 / $8,456.40	Professional		$3,207.60	$6,706.80	$8,456.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $4,665.60 / $10,269.76	Professional		$3,265.92	$4,665.60	$10,269.76