Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $169,133.00	Facility		$55,272.32	$55,272.32	$169,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $57,483.22	Professional		$55,272.32	$55,272.32	$57,483.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59,694.11 / $94,792.03 / $157,526.10	Facility		$59,694.11	$94,792.03	$157,526.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $62,955.17 / $92,321.35	Professional		$55,272.32	$62,955.17	$92,321.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $83,461.20	Facility		$55,272.32	$55,272.32	$83,461.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $74,617.63	Professional		$55,272.32	$55,272.32	$74,617.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52,143.70 / $52,143.70 / $55,536.50	Facility		$52,143.70	$52,143.70	$55,536.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $77,820.00	Professional		$55,272.32	$55,272.32	$77,820.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50,000.00 / $55,272.32 / $66,147.00	Facility		$50,000.00	$55,272.32	$66,147.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $78,215.55	Professional		$55,272.32	$55,272.32	$78,215.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $55,945.97 / $66,326.78 / $80,144.86	Professional		$55,945.97	$66,326.78	$80,144.86
United Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $65,774.06	Professional		$55,272.32	$55,272.32	$65,774.06