Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,165.95 / $8,317.64	Professional		$5,370.32	$6,165.95	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $14,454.40	Professional		$4,677.35	$5,754.40	$14,454.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,047.13 / $10,471.29	Facility		$524.81	$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 $5,128.61 / $7,585.78 / $7,585.78	Facility		$5,128.61	$7,585.78	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $12,589.25	Professional		$6,456.54	$6,456.54	$12,589.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,585.78 / $7,585.78	Facility		$5,128.61	$7,585.78	$7,585.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $6,456.54 / $7,585.78	Professional		$912.01	$6,456.54	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,238.72 / $6,025.60	Professional		$354.81	$2,238.72	$6,025.60
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $13,182.57	Professional		$6,606.93	$7,762.47	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $851.14 / $5,623.41	Facility		$338.84	$851.14	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $5,248.07	Professional		$2,238.72	$3,467.37	$5,248.07