Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,630.78	Facility		$1,445.44	$2,238.72	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,819.70	Professional		$912.01	$1,258.93	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $1,819.70	Professional		$239.88	$275.42	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $21,379.62 / $41,686.94	Facility		$1,412.54	$21,379.62	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $23,988.33 / $41,686.94	Professional		$1,862.09	$23,988.33	$41,686.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $3,235.94	Facility		$977.24	$977.24	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,949.84	Professional		$1,778.28	$1,778.28	$1,949.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,235.94	Facility		$1,174.90	$1,548.82	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $3,019.95	Professional		$1,148.15	$1,584.89	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,380.38 / $1,513.56	Facility		$549.54	$1,380.38	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,737.80	Professional		$630.96	$912.01	$1,737.80