Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,338.67 / $3,338.67 / $8,445.00	Facility		$3,338.67	$3,338.67	$8,445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,254.07 / $3,338.67 / $4,650.18	Professional		$3,254.07	$3,338.67	$4,650.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,420.51 / $7,521.36 / $19,487.16	Facility		$6,420.51	$7,521.36	$19,487.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,425.67 / $3,904.14 / $8,888.87	Professional		$3,425.67	$3,904.14	$8,888.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,128.20 / $6,837.60 / $9,230.76	Facility		$5,128.20	$6,837.60	$9,230.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,444.43 / $6,251.20 / $14,640.67	Professional		$4,444.43	$6,251.20	$14,640.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $8,236.23	Facility		$4,423.18	$4,423.18	$8,236.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $5,650.61	Professional		$3,228.92	$3,228.92	$5,650.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $4,423.18	Facility		$4,423.18	$4,423.18	$4,423.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $4,423.18 / $4,423.18	Professional		$3,228.92	$4,423.18	$4,423.18
United Facility/Professional Professional Modifier Low / Median / High Price $2,274.14 / $3,411.20 / $4,997.30	Professional		$2,274.14	$3,411.20	$4,997.30