Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,482.71 / $9,482.71 / $21,345.00	Facility		$9,482.71	$9,482.71	$21,345.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,242.42 / $9,482.71 / $12,245.34	Professional		$9,242.42	$9,482.71	$12,245.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,235.95 / $21,362.67 / $55,348.74	Facility		$18,235.95	$21,362.67	$55,348.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,729.79 / $10,694.54 / $25,246.79	Professional		$9,729.79	$10,694.54	$25,246.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,417.30 / $19,420.61 / $26,217.82	Facility		$14,417.30	$19,420.61	$26,217.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12,623.40 / $17,478.55 / $41,583.41	Professional		$12,623.40	$17,478.55	$41,583.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,562.99 / $12,562.99 / $22,351.65	Facility		$12,562.99	$12,562.99	$22,351.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,170.98 / $9,170.98 / $16,049.22	Professional		$9,170.98	$9,170.98	$16,049.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12,562.99 / $12,562.99 / $12,562.99	Facility		$12,562.99	$12,562.99	$12,562.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9,170.98 / $12,562.99 / $12,562.99	Professional		$9,170.98	$12,562.99	$12,562.99
United Facility/Professional Professional Modifier Low / Median / High Price $6,459.15 / $9,688.71 / $14,074.48	Professional		$6,459.15	$9,688.71	$14,074.48