Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,608.03 / $11,608.03 / $11,608.03	Facility		$11,608.03	$11,608.03	$11,608.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,354.58 / $11,608.03 / $15,222.32	Professional		$11,354.58	$11,608.03	$15,222.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,364.40 / $11,964.50 / $27,478.88	Professional		$11,364.40	$11,964.50	$27,478.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,217.90 / $2,161.19 / $12,179.03	Facility		$1,217.90	$2,161.19	$12,179.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,035.22 / $2,161.19 / $12,666.34	Professional		$1,035.22	$2,161.19	$12,666.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,568.60 / $13,275.38 / $14,509.39	Facility		$7,568.60	$13,275.38	$14,509.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,284.07 / $13,275.38 / $17,970.09	Professional		$11,284.07	$13,275.38	$17,970.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7,568.60 / $13,275.38 / $13,275.38	Facility		$7,568.60	$13,275.38	$13,275.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11,284.07 / $13,275.38 / $13,275.38	Professional		$11,284.07	$13,275.38	$13,275.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.61 / $1,443.44 / $9,923.65	Professional		$676.61	$1,443.44	$9,923.65
United Facility/Professional Professional Modifier Low / Median / High Price $4,236.81 / $6,766.12 / $9,415.12	Professional		$4,236.81	$6,766.12	$9,415.12