Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,754.64 / $9,754.64 / $9,754.64	Facility		$9,754.64	$9,754.64	$9,754.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,541.68 / $9,754.64 / $12,791.86	Professional		$9,541.68	$9,754.64	$12,791.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,549.83 / $10,054.10 / $23,091.28	Professional		$9,549.83	$10,054.10	$23,091.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.44 / $1,816.14 / $12,258.95	Facility		$1,023.44	$1,816.14	$12,258.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $869.92 / $1,816.14 / $11,441.68	Professional		$869.92	$1,816.14	$11,441.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,645.60 / $11,155.72 / $12,192.66	Facility		$6,645.60	$11,155.72	$12,192.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,482.36 / $11,155.72 / $15,100.90	Professional		$9,482.36	$11,155.72	$15,100.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,645.60 / $11,155.72 / $11,155.72	Facility		$6,645.60	$11,155.72	$11,155.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9,482.36 / $11,155.72 / $11,155.72	Professional		$9,482.36	$11,155.72	$11,155.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $568.57 / $1,212.96 / $8,339.05	Professional		$568.57	$1,212.96	$8,339.05
United Facility/Professional Professional Modifier Low / Median / High Price $3,867.10 / $5,685.76 / $7,911.80	Professional		$3,867.10	$5,685.76	$7,911.80