Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,937.87 / $4,937.87 / $9,219.00	Facility		$4,937.87	$4,937.87	$9,219.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,454.32 / $4,937.87 / $6,090.10	Professional		$4,454.32	$4,937.87	$6,090.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,495.87 / $11,124.03 / $28,821.34	Facility		$9,495.87	$11,124.03	$28,821.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,810.89 / $5,066.53 / $13,146.57	Professional		$4,810.89	$5,066.53	$13,146.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,808.58 / $10,112.75 / $13,652.21	Facility		$6,808.58	$10,112.75	$13,652.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,573.29 / $9,101.48 / $21,653.42	Professional		$6,573.29	$9,101.48	$21,653.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $10,448.18	Facility		$6,541.83	$6,541.83	$10,448.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $4,775.54 / $8,357.19	Professional		$4,775.54	$4,775.54	$8,357.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $6,541.83	Facility		$6,541.83	$6,541.83	$6,541.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $6,541.83 / $6,541.83	Professional		$4,775.54	$6,541.83	$6,541.83
United Facility/Professional Facility Modifier Low / Median / High Price $9,078.09 / $9,078.09 / $10,680.11	Facility		$9,078.09	$9,078.09	$10,680.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,330.12 / $5,000.14 / $6,419.22	Professional		$3,330.12	$5,000.14	$6,419.22