Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $4,168.69 / $10,964.78	Facility		$147.91	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $467.74	Professional		$91.20	$151.36	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $2,511.89	Facility		$891.25	$2,238.72	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $281.84	Professional		$104.71	$169.82	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $295.12	Professional		$102.33	$169.82	$295.12
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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $275.42	Professional		$97.72	$165.96	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $281.84	Professional		$93.33	$177.83	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $263.03	Professional		$95.50	$158.49	$263.03