Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,205.39 / $4,205.39 / $10,407.00	Facility		$4,205.39	$4,205.39	$10,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,098.83 / $4,205.39 / $5,592.36	Professional		$4,098.83	$4,205.39	$5,592.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,087.29 / $9,473.93 / $24,546.08	Facility		$8,087.29	$9,473.93	$24,546.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,567.02 / $5,303.04 / $11,196.45	Professional		$4,567.02	$5,303.04	$11,196.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,437.80 / $8,612.66 / $11,627.09	Facility		$6,437.80	$8,612.66	$11,627.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,598.23 / $7,751.39 / $18,441.43	Professional		$5,598.23	$7,751.39	$18,441.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $9,791.39	Facility		$4,751.45	$4,751.45	$9,791.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,038.73 / $5,177.97	Professional		$4,038.73	$4,038.73	$5,177.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $4,751.45	Facility		$4,751.45	$4,751.45	$4,751.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,751.45 / $4,751.45	Professional		$4,038.73	$4,751.45	$4,751.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,378.88 / $6,020.96 / $7,893.47	Professional		$4,378.88	$6,020.96	$7,893.47
United Facility/Professional Professional Modifier Low / Median / High Price $2,864.51 / $4,296.76 / $5,845.78	Professional		$2,864.51	$4,296.76	$5,845.78