Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,141.37 / $6,141.37 / $13,265.00	Facility		$6,141.37	$6,141.37	$13,265.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,595.11 / $6,141.37 / $7,182.89	Professional		$5,595.11	$6,141.37	$7,182.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,810.30 / $13,835.28 / $35,845.96	Facility		$11,810.30	$13,835.28	$35,845.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,301.39 / $6,433.43 / $16,350.78	Professional		$6,301.39	$6,433.43	$16,350.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,557.73 / $12,577.53 / $16,979.66	Facility		$8,557.73	$12,577.53	$16,979.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,175.39 / $11,319.78 / $26,931.01	Professional		$8,175.39	$11,319.78	$26,931.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $13,426.28	Facility		$8,136.27	$8,136.27	$13,426.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $5,939.48 / $10,394.08	Professional		$5,939.48	$5,939.48	$10,394.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $8,136.27	Facility		$8,136.27	$8,136.27	$8,136.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $8,136.27 / $8,136.27	Professional		$5,939.48	$8,136.27	$8,136.27
United Facility/Professional Professional Modifier Low / Median / High Price $4,183.18 / $6,274.79 / $8,095.64	Professional		$4,183.18	$6,274.79	$8,095.64