Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $10,000.00	Professional		$6,456.54	$7,585.78	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,079.46 / $16,218.10	Professional		$6,025.60	$7,079.46	$16,218.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $15,488.17	Facility		$645.65	$1,288.25	$15,488.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $15,488.17	Professional		$831.76	$1,148.15	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,165.95	Facility		$5,128.61	$5,128.61	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $8,511.38	Professional		$4,365.16	$4,365.16	$8,511.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $8,511.38	Facility		$5,128.61	$5,128.61	$8,511.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $4,365.16 / $5,128.61	Professional		$954.99	$4,365.16	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $6,606.93	Professional		$398.11	$1,096.48	$6,606.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $14,454.40	Professional		$7,413.10	$8,709.64	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $912.01 / $5,623.41	Facility		$380.19	$912.01	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $5,888.44	Professional		$2,511.89	$3,890.45	$5,888.44