Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $23,988.33	Facility		$14,125.38	$14,125.38	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $14,454.40 / $23,442.29	Professional		$12,302.69	$14,454.40	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $30,902.95 / $63,095.73	Facility		$29,512.09	$30,902.95	$63,095.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $35,481.34	Professional		$2,454.71	$3,548.13	$35,481.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Professional		$24,547.09	$24,547.09	$24,547.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $21,877.62 / $34,673.69	Facility		$14,454.40	$21,877.62	$34,673.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $26,302.68 / $38,904.51	Professional		$19,054.61	$26,302.68	$38,904.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $16,595.87	Professional		$12,022.64	$12,022.64	$16,595.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $16,595.87	Professional		$12,022.64	$12,022.64	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $24,547.09 / $36,307.81	Professional		$15,848.93	$24,547.09	$36,307.81
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $35,481.34 / $35,481.34 / $35,481.34	Facility		$35,481.34	$35,481.34	$35,481.34
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $29,512.09 / $33,113.11 / $60,255.96	Professional		$29,512.09	$33,113.11	$60,255.96
United Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $19,952.62 / $29,512.09	Facility		$8,128.31	$19,952.62	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $20,417.38	Professional		$9,549.93	$14,125.38	$20,417.38