Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $14,454.40	Professional		$9,120.11	$10,715.19	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,715.19 / $22,908.68	Professional		$8,709.64	$10,715.19	$22,908.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,819.70 / $21,877.62	Facility		$912.01	$1,819.70	$21,877.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $21,877.62	Professional		$1,174.90	$1,621.81	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $11,220.18 / $11,220.18	Facility		$8,709.64	$11,220.18	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $20,892.96	Professional		$9,549.93	$9,549.93	$20,892.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $11,220.18 / $12,022.64	Facility		$8,709.64	$11,220.18	$12,022.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $9,549.93 / $11,220.18	Professional		$1,348.96	$9,549.93	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,548.82 / $9,549.93	Professional		$562.34	$1,548.82	$9,549.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $12,302.69 / $20,892.96	Professional		$10,471.29	$12,302.69	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $8,128.31	Facility		$537.03	$1,288.25	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,623.41 / $8,317.64	Professional		$3,548.13	$5,623.41	$8,317.64