Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $5,011.87 / $12,882.50	Facility		$245.47	$5,011.87	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $8,511.38	Professional		$4,265.80	$5,128.61	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,309.57 / $14,125.38	Professional		$4,897.79	$6,309.57	$14,125.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,585.78 / $12,022.64	Facility		$5,011.87	$7,585.78	$12,022.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $9,120.11 / $13,803.84	Professional		$6,606.93	$9,120.11	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,623.41	Professional		$4,786.30	$4,786.30	$5,623.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,623.41	Professional		$4,786.30	$4,786.30	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,912.51 / $13,182.57	Professional		$5,754.40	$8,912.51	$13,182.57
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $11,748.98 / $21,877.62	Professional		$10,471.29	$11,748.98	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,025.60 / $7,079.46	Facility		$3,801.89	$6,025.60	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,128.61 / $7,244.36	Professional		$3,467.37	$5,128.61	$7,244.36