Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,606.93 / $8,912.51	Professional		$5,495.41	$6,606.93	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,165.95 / $12,589.25	Professional		$5,128.61	$6,165.95	$12,589.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,047.13 / $10,471.29	Facility		$512.86	$1,047.13	$10,471.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $12,589.25	Professional		$676.08	$933.25	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,943.28 / $7,943.28	Facility		$5,495.41	$7,943.28	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $12,882.50	Professional		$6,606.93	$6,606.93	$12,882.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,943.28 / $7,943.28	Facility		$5,495.41	$7,943.28	$7,943.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $6,606.93 / $7,943.28	Professional		$933.25	$6,606.93	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,096.48 / $6,456.54	Professional		$389.05	$1,096.48	$6,456.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,317.64 / $13,803.84	Professional		$7,079.46	$8,317.64	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $891.25 / $5,888.44	Facility		$371.54	$891.25	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $5,754.40	Professional		$2,454.71	$3,801.89	$5,754.40