Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,851.50 / $6,851.50 / $15,274.00	Facility		$6,851.50	$6,851.50	$15,274.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,258.02 / $6,851.50 / $8,279.18	Professional		$6,258.02	$6,851.50	$8,279.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,175.92 / $15,435.05 / $39,990.80	Facility		$13,175.92	$15,435.05	$39,990.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,030.02 / $7,450.05 / $18,241.41	Professional		$7,030.02	$7,450.05	$18,241.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,650.35 / $14,031.86 / $18,943.00	Facility		$9,650.35	$14,031.86	$18,943.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,120.70 / $12,628.67 / $30,045.02	Professional		$9,120.70	$12,628.67	$30,045.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $15,459.78	Facility		$9,077.06	$9,077.06	$15,459.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $6,626.25 / $11,595.94	Professional		$6,626.25	$6,626.25	$11,595.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $9,077.06	Facility		$9,077.06	$9,077.06	$9,077.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $9,077.06 / $9,077.06	Professional		$6,626.25	$9,077.06	$9,077.06
United Facility/Professional Professional Modifier Low / Median / High Price $4,666.89 / $7,000.34 / $9,418.33	Professional		$4,666.89	$7,000.34	$9,418.33