Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,121.26 / $22,028.90 / $28,932.00	Facility		$8,121.26	$22,028.90	$28,932.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,121.26 / $8,121.26 / $10,395.20	Professional		$8,121.26	$8,121.26	$10,395.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,689.49 / $18,797.36 / $54,987.79	Facility		$12,689.49	$18,797.36	$54,987.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.93 / $560.20 / $9,644.01	Professional		$430.93	$560.20	$9,644.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.63 / $263.74 / $435.17	Facility		$255.63	$263.74	$435.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.74 / $263.74 / $263.74	Professional		$263.74	$263.74	$263.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,304.94 / $8,628.84 / $8,628.84	Facility		$8,304.94	$8,628.84	$8,628.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,628.84 / $8,628.84 / $8,628.84	Professional		$8,628.84	$8,628.84	$8,628.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8,304.94 / $8,628.84 / $8,628.84	Facility		$8,304.94	$8,628.84	$8,628.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8,628.84 / $8,628.84 / $10,151.58	Professional		$8,628.84	$8,628.84	$10,151.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,717.27 / $3,124.86 / $3,918.57	Professional		$2,717.27	$3,124.86	$3,918.57
United Facility/Professional Professional Modifier Low / Median / High Price $8,036.68 / $8,459.66 / $10,151.58	Professional		$8,036.68	$8,459.66	$10,151.58