Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,608.73 / $3,608.73 / $6,779.00	Facility		$3,608.73	$3,608.73	$6,779.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,458.82 / $3,608.73 / $4,887.04	Professional		$3,458.82	$3,608.73	$4,887.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,702.76 / $3,906.15 / $9,755.69	Professional		$3,702.76	$3,906.15	$9,755.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,427.00 / $7,236.00 / $9,607.87	Facility		$5,427.00	$7,236.00	$9,607.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,703.39 / $9,607.87 / $17,737.63	Professional		$4,703.39	$9,607.87	$17,737.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $8,479.69	Facility		$4,063.89	$4,063.89	$8,479.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $3,454.31 / $4,938.25	Professional		$3,454.31	$3,454.31	$4,938.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $4,063.89	Facility		$4,063.89	$4,063.89	$4,063.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $4,063.89 / $4,063.89	Professional		$3,454.31	$4,063.89	$4,063.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,458.09 / $3,687.13 / $4,999.87	Professional		$2,458.09	$3,687.13	$4,999.87