Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $3,019.95	Facility		$1,202.26	$1,862.09	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,479.11	Professional		$758.58	$1,047.13	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $1,584.89	Professional		$66.07	$81.28	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $17,782.79 / $41,686.94	Facility		$1,174.90	$17,782.79	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $19,952.62 / $34,673.69	Professional		$1,548.82	$19,952.62	$34,673.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $2,691.53	Facility		$812.83	$812.83	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,621.81	Professional		$1,479.11	$1,479.11	$1,621.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,584.89 / $7,244.36	Facility		$812.83	$1,584.89	$7,244.36
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,511.89	Professional		$954.99	$1,318.26	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,148.15 / $1,258.93	Facility		$457.09	$1,148.15	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,445.44	Professional		$524.81	$758.58	$1,445.44