Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,478.24 / $7,478.24 / $17,847.00	Facility		$7,478.24	$7,478.24	$17,847.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,288.73 / $7,478.24 / $10,057.12	Professional		$7,288.73	$7,478.24	$10,057.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,381.19 / $16,846.97 / $43,648.98	Facility		$14,381.19	$16,846.97	$43,648.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,673.10 / $8,683.60 / $19,910.05	Professional		$7,673.10	$8,683.60	$19,910.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,486.57 / $15,315.43 / $20,675.83	Facility		$11,486.57	$15,315.43	$20,675.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,554.77 / $14,614.30 / $32,793.40	Professional		$10,554.77	$14,614.30	$32,793.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $19,029.04	Facility		$9,907.40	$9,907.40	$19,029.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $7,232.40 / $12,656.70	Professional		$7,232.40	$7,232.40	$12,656.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $9,907.40	Facility		$9,907.40	$9,907.40	$9,907.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $9,907.40 / $9,907.40	Professional		$7,232.40	$9,907.40	$9,907.40
United Facility/Professional Professional Modifier Low / Median / High Price $5,093.80 / $7,640.70 / $11,114.95	Professional		$5,093.80	$7,640.70	$11,114.95