Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,400.00 / $9,460.00 / $13,612.50	Facility		$4,400.00	$9,460.00	$13,612.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,850.00 / $4,400.00 / $7,939.80	Professional		$3,850.00	$4,400.00	$7,939.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,807.93 / $5,880.60 / $9,636.02	Facility		$4,807.93	$5,880.60	$9,636.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,640.00 / $7,552.21	Professional		$2,200.00	$2,640.00	$7,552.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,445.00 / $6,806.25 / $8,167.50	Facility		$5,445.00	$6,806.25	$8,167.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,078.50 / $7,350.75 / $13,068.00	Professional		$7,078.50	$7,350.75	$13,068.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,908.47 / $5,662.80 / $31,502.64	Facility		$4,908.47	$5,662.80	$31,502.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,510.67 / $4,209.84 / $10,655.55	Professional		$2,510.67	$4,209.84	$10,655.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,908.47 / $5,662.80 / $37,080.26	Facility		$4,908.47	$5,662.80	$37,080.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,510.67 / $3,080.00 / $10,655.55	Professional		$2,510.67	$3,080.00	$10,655.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $4,492.12 / $5,921.43	Professional		$60.00	$4,492.12	$5,921.43
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $3,300.00 / $7,263.85	Professional		$2,310.00	$3,300.00	$7,263.85