Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,390.10 / $60,733.10 / $79,764.70	Facility		$22,390.10	$60,733.10	$79,764.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $22,390.10 / $28,659.30	Professional		$22,390.08	$22,390.10	$28,659.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,245.12 / $6,009.48 / $51,823.71	Facility		$3,245.12	$6,009.48	$51,823.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,004.74 / $3,906.16 / $26,588.22	Professional		$3,004.74	$3,906.16	$26,588.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $2,004.10 / $3,306.77	Facility		$1,942.50	$2,004.10	$3,306.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,004.10 / $2,004.10 / $2,004.10	Professional		$2,004.10	$2,004.10	$2,004.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $34,888.92	Facility		$23,789.46	$23,789.46	$34,888.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Professional		$23,789.46	$23,789.46	$23,789.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $24,228.42 / $37,554.05	Facility		$23,789.46	$24,228.42	$37,554.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $27,987.60	Professional		$23,789.46	$23,789.46	$27,987.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $19,906.23 / $23,887.47 / $28,706.77	Professional		$19,906.23	$23,887.47	$28,706.77
United Facility/Professional Facility Modifier Low / Median / High Price $24,213.03 / $24,213.03 / $24,213.03	Facility		$24,213.03	$24,213.03	$24,213.03
United Facility/Professional Professional Modifier Low / Median / High Price $23,278.69 / $23,323.00 / $27,987.60	Professional		$23,278.69	$23,323.00	$27,987.60