Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,955.24 / $10,955.24 / $26,322.00	Facility		$10,955.24	$10,955.24	$26,322.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,677.62 / $10,955.24 / $15,087.73	Professional		$10,677.62	$10,955.24	$15,087.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,067.70 / $24,679.95 / $63,943.51	Facility		$21,067.70	$24,679.95	$63,943.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,240.68 / $12,489.26 / $29,167.21	Professional		$11,240.68	$12,489.26	$29,167.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16,827.24 / $22,436.32 / $30,289.03	Facility		$16,827.24	$22,436.32	$30,289.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14,662.63 / $20,302.09 / $48,040.65	Professional		$14,662.63	$20,302.09	$48,040.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,513.81 / $14,513.81 / $26,435.03	Facility		$14,513.81	$14,513.81	$26,435.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,595.08 / $10,595.08 / $18,541.39	Professional		$10,595.08	$10,595.08	$18,541.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14,513.81 / $14,513.81 / $14,513.81	Facility		$14,513.81	$14,513.81	$14,513.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10,595.08 / $14,513.81 / $14,513.81	Professional		$10,595.08	$14,513.81	$14,513.81
United Facility/Professional Professional Modifier Low / Median / High Price $7,462.16 / $11,193.23 / $15,858.68	Professional		$7,462.16	$11,193.23	$15,858.68