Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,840.60 / $3,840.60 / $10,006.00	Facility		$3,840.60	$3,840.60	$10,006.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,743.27 / $3,840.60 / $5,289.35	Professional		$3,743.27	$3,840.60	$5,289.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,940.66 / $4,300.34 / $10,335.31	Professional		$3,940.66	$4,300.34	$10,335.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,899.16 / $7,865.54 / $10,618.48	Facility		$5,899.16	$7,865.54	$10,618.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,140.30 / $7,117.34 / $16,841.68	Professional		$5,140.30	$7,117.34	$16,841.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $9,267.37	Facility		$4,391.66	$4,391.66	$9,267.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $5,255.53	Professional		$3,732.91	$3,732.91	$5,255.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $4,391.66	Facility		$4,391.66	$4,391.66	$4,391.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $4,391.66 / $4,391.66	Professional		$3,732.91	$4,391.66	$4,391.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,616.02 / $3,924.03 / $5,403.12	Professional		$2,616.02	$3,924.03	$5,403.12