Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,128.31 / $11,481.54	Facility		$4,466.84	$8,128.31	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $5,754.40	Professional		$2,884.03	$3,890.45	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,011.87 / $8,709.64	Facility		$4,365.16	$5,011.87	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $6,165.95	Professional		$1,584.89	$2,137.96	$6,165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $41,686.94 / $100,000.00	Facility		$4,466.84	$41,686.94	$100,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $74,131.02 / $131,825.67	Professional		$5,888.44	$74,131.02	$131,825.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $10,000.00	Facility		$3,090.30	$3,090.30	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,495.41 / $6,165.95	Professional		$3,801.89	$5,495.41	$6,165.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,025.60 / $27,542.29	Facility		$3,090.30	$6,025.60	$27,542.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,248.07 / $10,964.78	Professional		$4,073.80	$5,248.07	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,265.80 / $4,786.30	Facility		$1,737.80	$4,265.80	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $5,495.41	Professional		$1,995.26	$2,884.03	$5,495.41