Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,569.00 / $10,569.00 / $10,569.00	Facility		$10,569.00	$10,569.00	$10,569.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,874.59 / $10,569.00 / $10,569.00	Professional		$7,874.59	$10,569.00	$10,569.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,485.20 / $11,037.00 / $17,664.66	Professional		$9,485.20	$11,037.00	$17,664.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,381.18 / $9,817.20 / $12,762.36	Facility		$6,381.18	$9,817.20	$12,762.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,381.18 / $8,344.62 / $10,308.06	Professional		$6,381.18	$8,344.62	$10,308.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $7,100.47 / $7,100.47	Facility		$64.00	$7,100.47	$7,100.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,035.40 / $6,035.40 / $7,100.47	Professional		$6,035.40	$6,035.40	$7,100.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7,100.47 / $7,100.47 / $7,100.47	Facility		$7,100.47	$7,100.47	$7,100.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7,100.47 / $7,100.47 / $7,100.47	Professional		$7,100.47	$7,100.47	$7,100.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $545.40 / $3,381.48 / $10,908.00	Professional		$545.40	$3,381.48	$10,908.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.17 / $422.17 / $422.17	Professional		$422.17	$422.17	$422.17