Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,021.12 / $5,021.12 / $10,359.00	Facility		$5,021.12	$5,021.12	$10,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,893.88 / $5,021.12 / $6,910.70	Professional		$4,893.88	$5,021.12	$6,910.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,655.96 / $11,311.58 / $29,307.26	Facility		$9,655.96	$11,311.58	$29,307.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,151.95 / $5,635.06 / $13,368.22	Professional		$5,151.95	$5,635.06	$13,368.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,712.44 / $10,283.25 / $13,882.39	Facility		$7,712.44	$10,283.25	$13,882.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,720.32 / $9,305.06 / $22,018.49	Professional		$6,720.32	$9,305.06	$22,018.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $12,115.96	Facility		$6,652.12	$6,652.12	$12,115.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $4,856.05 / $8,498.08	Professional		$4,856.05	$4,856.05	$8,498.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $6,652.12	Facility		$6,652.12	$6,652.12	$6,652.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $6,652.12 / $6,652.12	Professional		$4,856.05	$6,652.12	$6,652.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,776.00 / $3,817.01 / $5,004.10	Professional		$2,776.00	$3,817.01	$5,004.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,420.14 / $5,130.20 / $7,091.00	Professional		$3,420.14	$5,130.20	$7,091.00