Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,275.29 / $5,275.29 / $10,685.00	Facility		$5,275.29	$5,275.29	$10,685.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,973.47 / $5,275.29 / $6,700.03	Professional		$4,973.47	$5,275.29	$6,700.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,144.76 / $11,884.17 / $30,790.80	Facility		$10,144.76	$11,884.17	$30,790.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,412.74 / $5,623.53 / $14,044.92	Professional		$5,412.74	$5,623.53	$14,044.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,087.23 / $10,803.79 / $14,585.12	Facility		$8,087.23	$10,803.79	$14,585.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,022.46 / $9,723.41 / $23,133.08	Professional		$7,022.46	$9,723.41	$23,133.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $12,636.29	Facility		$7,261.93	$7,261.93	$12,636.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $8,983.15	Professional		$5,301.21	$5,301.21	$8,983.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $7,261.93	Facility		$7,261.93	$7,261.93	$7,261.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $7,261.93 / $7,261.93	Professional		$5,301.21	$7,261.93	$7,261.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,593.26 / $5,389.89 / $7,829.71	Professional		$3,593.26	$5,389.89	$7,829.71