Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,819.78 / $20,819.78 / $44,720.00	Facility		$20,819.78	$20,819.78	$44,720.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18,218.03 / $20,819.78 / $26,888.15	Professional		$18,218.03	$20,819.78	$26,888.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,398.11 / $42,638.89 / $110,473.50	Facility		$36,398.11	$42,638.89	$110,473.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,408.53 / $2,793.89 / $54,000.00	Professional		$2,408.53	$2,793.89	$54,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28,954.74 / $38,762.62 / $52,329.55	Facility		$28,954.74	$38,762.62	$52,329.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25,195.71 / $34,886.37 / $82,998.53	Professional		$25,195.71	$34,886.37	$82,998.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45,241.78 / $45,241.78 / $45,241.78	Facility		$45,241.78	$45,241.78	$45,241.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $31,019.05 / $44,937.75	Professional		$31,019.05	$31,019.05	$44,937.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45,241.78 / $45,241.78 / $45,241.78	Facility		$45,241.78	$45,241.78	$45,241.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $31,019.05 / $31,019.05	Professional		$31,019.05	$31,019.05	$31,019.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $13,576.76 / $20,365.15 / $31,467.51	Professional		$13,576.76	$20,365.15	$31,467.51