Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,240.43 / $4,240.43 / $10,808.00	Facility		$4,240.43	$4,240.43	$10,808.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,132.97 / $4,240.43 / $5,840.01	Professional		$4,132.97	$4,240.43	$5,840.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,154.66 / $9,552.85 / $24,750.57	Facility		$8,154.66	$9,552.85	$24,750.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,236.55 / $4,744.93 / $11,289.73	Professional		$4,236.55	$4,744.93	$11,289.73
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7,381.75 / $7,381.75 / $7,381.75	Professional		$7,381.75	$7,381.75	$7,381.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,513.31 / $8,684.41 / $11,723.95	Facility		$6,513.31	$8,684.41	$11,723.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,675.44 / $7,858.30 / $18,595.06	Professional		$5,675.44	$7,858.30	$18,595.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $10,232.16	Facility		$6,042.00	$6,042.00	$10,232.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $4,410.66 / $7,220.94	Professional		$4,410.66	$4,410.66	$7,220.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $6,042.00	Facility		$6,042.00	$6,042.00	$6,042.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $6,042.00 / $6,042.00	Professional		$4,410.66	$6,042.00	$6,042.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,684.05 / $5,065.57 / $6,640.97	Professional		$3,684.05	$5,065.57	$6,640.97
United Facility/Professional Professional Modifier Low / Median / High Price $2,888.38 / $4,332.56 / $5,964.13	Professional		$2,888.38	$4,332.56	$5,964.13