Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $11,481.54	Facility		$1,380.38	$3,162.28	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $2,630.27	Professional		$41.69	$70.79	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $346.74	Professional		$74.13	$138.04	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,258.93 / $45,708.82	Facility		$81.28	$1,258.93	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,380.38 / $2,454.71	Professional		$109.65	$1,380.38	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $131.83 / $870.96	Professional		$54.95	$131.83	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $95.50	Professional		$39.81	$54.95	$95.50