Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,672.17 / $3,672.17 / $10,187.00	Facility		$3,672.17	$3,672.17	$10,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,026.95 / $3,672.17 / $4,954.60	Professional		$3,026.95	$3,672.17	$4,954.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,061.84 / $8,272.66 / $21,433.71	Facility		$7,061.84	$8,272.66	$21,433.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,707.50 / $3,772.23 / $9,776.78	Professional		$3,707.50	$3,772.23	$9,776.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,888.39 / $7,520.60 / $10,152.81	Facility		$4,888.39	$7,520.60	$10,152.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,888.39 / $6,768.54 / $16,103.11	Professional		$4,888.39	$6,768.54	$16,103.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $8,110.82	Facility		$4,865.01	$4,865.01	$8,110.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $6,215.05	Professional		$3,551.46	$3,551.46	$6,215.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $4,865.01 / $4,865.01	Professional		$3,551.46	$4,865.01	$4,865.01
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,501.30 / $3,751.95 / $4,773.82	Professional		$2,501.30	$3,751.95	$4,773.82