Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,871.54 / $6,871.54 / $6,871.54	Facility		$6,871.54	$6,871.54	$6,871.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,721.50 / $6,871.54 / $9,011.04	Professional		$6,721.50	$6,871.54	$9,011.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,020.21 / $7,082.60 / $16,266.46	Professional		$6,020.21	$7,082.60	$16,266.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.95 / $1,279.34 / $8,635.62	Facility		$720.95	$1,279.34	$8,635.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $612.80 / $1,279.34 / $7,871.03	Professional		$612.80	$1,279.34	$7,871.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $8,589.12	Facility		$5,109.46	$5,109.46	$8,589.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,343.04 / $4,343.04 / $14,831.25	Professional		$4,343.04	$4,343.04	$14,831.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $6,183.41	Facility		$5,109.46	$5,109.46	$6,183.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,343.04 / $5,109.46 / $5,109.46	Professional		$4,343.04	$5,109.46	$5,109.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $400.53 / $854.46 / $5,874.41	Professional		$400.53	$854.46	$5,874.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,724.15 / $3,918.20 / $5,576.80	Professional		$2,724.15	$3,918.20	$5,576.80