Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,727.71 / $3,727.71 / $8,542.00	Facility		$3,727.71	$3,727.71	$8,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,533.19 / $3,727.71 / $5,426.05	Professional		$3,533.19	$3,727.71	$5,426.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,168.65 / $8,397.79 / $21,757.90	Facility		$7,168.65	$8,397.79	$21,757.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,824.84 / $4,280.22 / $9,924.65	Professional		$3,824.84	$4,280.22	$9,924.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,725.76 / $7,634.35 / $10,585.08	Facility		$5,725.76	$7,634.35	$10,585.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,344.05 / $7,634.35 / $16,346.67	Professional		$5,344.05	$7,634.35	$16,346.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $10,336.99	Facility		$4,938.58	$4,938.58	$10,336.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $3,605.16 / $6,309.04	Professional		$3,605.16	$3,605.16	$6,309.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $4,938.58	Facility		$4,938.58	$4,938.58	$4,938.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $4,938.58 / $4,938.58	Professional		$3,605.16	$4,938.58	$4,938.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,539.12 / $3,808.69 / $5,532.75	Professional		$2,539.12	$3,808.69	$5,532.75