Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,452.19 / $10,452.19 / $21,709.00	Facility		$10,452.19	$10,452.19	$21,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,187.32 / $10,452.19 / $13,806.01	Professional		$10,187.32	$10,452.19	$13,806.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,100.32 / $23,546.70 / $61,007.36	Facility		$20,100.32	$23,546.70	$61,007.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,724.54 / $11,663.83 / $27,827.91	Professional		$10,724.54	$11,663.83	$27,827.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,916.88 / $21,406.09 / $28,898.22	Facility		$15,916.88	$21,406.09	$28,898.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13,913.96 / $19,265.48 / $45,834.72	Professional		$13,913.96	$19,265.48	$45,834.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,847.37 / $13,847.37 / $24,497.70	Facility		$13,847.37	$13,847.37	$24,497.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $10,108.58 / $17,690.02	Professional		$10,108.58	$10,108.58	$17,690.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13,847.37 / $13,847.37 / $13,847.37	Facility		$13,847.37	$13,847.37	$13,847.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $13,847.37 / $13,847.37	Professional		$10,108.58	$13,847.37	$13,847.37
United Facility/Professional Professional Modifier Low / Median / High Price $7,119.51 / $10,587.68 / $14,745.38	Professional		$7,119.51	$10,587.68	$14,745.38