Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,247.00 / $16,247.00 / $16,247.00	Facility		$16,247.00	$16,247.00	$16,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,531.66 / $16,247.00 / $16,247.00	Professional		$13,531.66	$16,247.00	$16,247.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,638.55 / $8,927.00 / $14,287.61	Professional		$6,638.55	$8,927.00	$14,287.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,581.25 / $10,125.00 / $13,162.50	Facility		$6,581.25	$10,125.00	$13,162.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,581.25 / $8,606.25 / $10,631.25	Professional		$6,581.25	$8,606.25	$10,631.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $11,619.91 / $11,619.91	Facility		$64.00	$11,619.91	$11,619.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,876.92 / $9,876.92 / $9,876.92	Professional		$9,876.92	$9,876.92	$9,876.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11,619.91 / $11,619.91 / $11,619.91	Facility		$11,619.91	$11,619.91	$11,619.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9,876.92 / $11,619.91 / $11,619.91	Professional		$9,876.92	$11,619.91	$11,619.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $3,487.50 / $11,250.00	Professional		$562.50	$3,487.50	$11,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.08 / $559.08 / $559.08	Professional		$559.08	$559.08	$559.08