Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,129.98 / $6,129.98 / $14,826.00	Facility		$6,129.98	$6,129.98	$14,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,929.62 / $6,129.98 / $8,088.86	Professional		$5,929.62	$6,129.98	$8,088.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,788.39 / $13,809.62 / $35,779.47	Facility		$11,788.39	$13,809.62	$35,779.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,289.70 / $7,188.93 / $16,320.46	Professional		$6,289.70	$7,188.93	$16,320.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,069.37 / $12,554.20 / $16,948.16	Facility		$9,069.37	$12,554.20	$16,948.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,160.23 / $11,298.78 / $26,881.05	Professional		$8,160.23	$11,298.78	$26,881.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $14,613.84	Facility		$8,121.18	$8,121.18	$14,613.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $10,438.59	Professional		$5,928.46	$5,928.46	$10,438.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $8,121.18	Facility		$8,121.18	$8,121.18	$8,121.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $8,121.18 / $8,121.18	Professional		$5,928.46	$8,121.18	$8,121.18
United Facility/Professional Professional Modifier Low / Median / High Price $4,175.43 / $6,263.15 / $9,201.83	Professional		$4,175.43	$6,263.15	$9,201.83