Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,892.51 / $13,117.75 / $16,692.00	Facility		$3,892.51	$13,117.75	$16,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,892.51 / $3,962.63 / $7,368.86	Professional		$3,892.51	$3,962.63	$7,368.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,569.91 / $11,151.10 / $23,549.75	Professional		$10,569.91	$11,151.10	$23,549.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,430.20 / $9,729.49 / $11,938.15	Facility		$6,430.20	$9,729.49	$11,938.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,729.48 / $13,471.59 / $17,473.68	Professional		$9,729.48	$13,471.59	$17,473.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,551.49 / $7,551.49 / $13,290.93	Facility		$7,551.49	$7,551.49	$13,290.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $6,418.77 / $7,551.49	Professional		$6,418.77	$6,418.77	$7,551.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7,551.49 / $7,551.49 / $7,551.49	Facility		$7,551.49	$7,551.49	$7,551.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $7,551.49 / $7,551.49	Professional		$6,418.77	$7,551.49	$7,551.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,390.96 / $5,558.95 / $13,938.08	Professional		$3,390.96	$5,558.95	$13,938.08