Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,150.48 / $14,150.48 / $33,457.00	Facility		$14,150.48	$14,150.48	$33,457.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,791.89 / $14,150.48 / $19,483.81	Professional		$13,791.89	$14,150.48	$19,483.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27,212.39 / $31,878.20 / $82,593.50	Facility		$27,212.39	$31,878.20	$82,593.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14,519.19 / $16,261.49 / $37,674.23	Professional		$14,519.19	$16,261.49	$37,674.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $24,633.15 / $24,633.15 / $24,633.15	Professional		$24,633.15	$24,633.15	$24,633.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21,735.14 / $28,980.18 / $39,123.24	Facility		$21,735.14	$28,980.18	$39,123.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18,939.18 / $26,223.50 / $62,052.36	Professional		$18,939.18	$26,223.50	$62,052.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $16,200.25 / $34,145.18	Facility		$16,200.25	$16,200.25	$34,145.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $11,826.18 / $20,695.82	Professional		$11,826.18	$11,826.18	$20,695.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $16,200.25 / $16,200.25	Facility		$16,200.25	$16,200.25	$16,200.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $16,200.25 / $16,200.25	Professional		$11,826.18	$16,200.25	$16,200.25
United Facility/Professional Facility Modifier Low / Median / High Price $29,383.10 / $29,383.10 / $34,568.35	Facility		$29,383.10	$29,383.10	$34,568.35
United Facility/Professional Professional Modifier Low / Median / High Price $9,638.60 / $14,457.89 / $19,931.41	Professional		$9,638.60	$14,457.89	$19,931.41