Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $14,454.40	Facility		$8,511.38	$8,511.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $14,454.40	Professional		$7,413.10	$8,709.64	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $19,054.61 / $38,018.94	Facility		$17,782.79	$19,054.61	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,760.83 / $22,387.21	Professional		$5,623.41	$6,760.83	$22,387.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $13,182.57 / $20,892.96	Facility		$8,709.64	$13,182.57	$20,892.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $15,848.93 / $23,988.33	Professional		$11,481.54	$15,848.93	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $9,772.37	Professional		$8,317.64	$8,317.64	$9,772.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $9,772.37	Professional		$8,317.64	$8,317.64	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $15,848.93 / $23,442.29	Professional		$10,232.93	$15,848.93	$23,442.29
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $19,952.62 / $37,153.52	Professional		$17,782.79	$19,952.62	$37,153.52
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,302.69 / $18,197.01	Facility		$6,456.54	$12,302.69	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $12,302.69	Professional		$5,888.44	$8,709.64	$12,302.69