Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,162.28	Facility		$1,230.27	$1,819.70	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,318.26	Professional		$776.25	$1,047.13	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $1,584.89	Professional		$199.53	$229.09	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $18,197.01 / $41,686.94	Facility		$1,202.26	$18,197.01	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $20,417.38 / $36,307.81	Professional		$1,621.81	$20,417.38	$36,307.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $2,754.23	Facility		$851.14	$851.14	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,513.56	Professional		$1,380.38	$1,380.38	$1,513.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,754.23	Facility		$1,000.00	$1,348.96	$2,754.23
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,019.95	Professional		$1,122.02	$1,445.44	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,174.90 / $1,318.26	Facility		$467.74	$1,174.90	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,513.56	Professional		$549.54	$776.25	$1,513.56