Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,591.69 / $6,591.69 / $13,039.00	Facility		$6,591.69	$6,591.69	$13,039.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,811.37 / $6,591.69 / $8,602.07	Professional		$5,811.37	$6,591.69	$8,602.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,676.28 / $14,849.75 / $38,474.33	Facility		$12,676.28	$14,849.75	$38,474.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,663.06 / $6,777.58 / $17,549.70	Professional		$6,663.06	$6,777.58	$17,549.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,888.51 / $13,499.77 / $18,224.68	Facility		$8,888.51	$13,499.77	$18,224.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,774.85 / $12,149.79 / $28,905.71	Professional		$8,774.85	$12,149.79	$28,905.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $14,438.00	Facility		$8,732.85	$8,732.85	$14,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $6,374.98 / $11,156.22	Professional		$6,374.98	$6,374.98	$11,156.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $8,732.85	Facility		$8,732.85	$8,732.85	$8,732.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $8,732.85 / $8,732.85	Professional		$6,374.98	$8,732.85	$8,732.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $4,489.92 / $6,734.89 / $8,569.19	Professional		$4,489.92	$6,734.89	$8,569.19