Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,108.85 / $7,108.85 / $17,515.00	Facility		$7,108.85	$7,108.85	$17,515.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,928.71 / $7,108.85 / $9,687.51	Professional		$6,928.71	$7,108.85	$9,687.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,670.83 / $16,014.81 / $41,492.92	Facility		$13,670.83	$16,014.81	$41,492.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,294.08 / $8,609.76 / $19,113.49	Professional		$7,294.08	$8,609.76	$19,113.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12,375.08 / $12,375.08 / $12,375.08	Professional		$12,375.08	$12,375.08	$12,375.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,919.19 / $14,558.92 / $19,654.54	Facility		$10,919.19	$14,558.92	$19,654.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,463.29 / $13,103.03 / $31,173.56	Professional		$9,463.29	$13,103.03	$31,173.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $17,449.48	Facility		$9,418.01	$9,418.01	$17,449.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $6,875.15 / $12,031.51	Professional		$6,875.15	$6,875.15	$12,031.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $9,418.01	Facility		$9,418.01	$9,418.01	$9,418.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $9,418.01 / $9,418.01	Professional		$6,875.15	$9,418.01	$9,418.01
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $4,842.20 / $7,263.29 / $11,020.45	Professional		$4,842.20	$7,263.29	$11,020.45