Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $61,680.20 / $88,398.80	Facility		$28,424.06	$61,680.20	$88,398.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $36,382.80	Professional		$28,424.06	$28,424.06	$36,382.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,697.98 / $45,762.74 / $71,060.14	Facility		$30,697.98	$45,762.74	$71,060.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $31,834.94 / $47,326.05	Professional		$28,424.06	$31,834.94	$47,326.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $42,725.78	Facility		$28,424.06	$28,424.06	$42,725.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $38,372.48	Professional		$28,424.06	$28,424.06	$38,372.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,815.15 / $27,351.45 / $28,424.06	Facility		$26,815.15	$27,351.45	$28,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $34,333.42	Professional		$28,424.06	$28,424.06	$34,333.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26,815.15 / $28,424.06 / $38,981.56	Facility		$26,815.15	$28,424.06	$38,981.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $40,222.73	Professional		$28,424.06	$28,424.06	$40,222.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $27,070.53 / $31,834.94 / $39,252.26	Professional		$27,070.53	$31,834.94	$39,252.26
United Facility/Professional Professional Modifier Low / Median / High Price $28,370.05 / $28,424.06 / $33,540.39	Professional		$28,370.05	$28,424.06	$33,540.39