Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,587.86 / $6,587.86 / $8,037.18	Facility		$6,587.86	$6,587.86	$8,037.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,587.86 / $6,587.86 / $6,587.86	Professional		$6,587.86	$6,587.86	$6,587.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,038.57 / $8,480.69 / $12,057.86	Facility		$8,038.57	$8,480.69	$12,057.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,088.23 / $3,497.27 / $13,327.60	Professional		$2,088.23	$3,497.27	$13,327.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $2,300.00 / $10,425.00	Facility		$2,300.00	$2,300.00	$10,425.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,260.38 / $3,260.38 / $5,399.00	Professional		$3,260.38	$3,260.38	$5,399.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $4,800.00 / $22,334.40	Facility		$2,300.00	$4,800.00	$22,334.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,260.38 / $16,186.59 / $34,155.35	Professional		$3,260.38	$16,186.59	$34,155.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $3,780.00	Professional		$2,160.00	$2,160.00	$3,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,842.55 / $3,116.00 / $4,723.00	Professional		$2,842.55	$3,116.00	$4,723.00