Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $5,623.41 / $10,715.19	Facility		$199.53	$5,623.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $524.81 / $2,570.40	Professional		$107.15	$524.81	$2,570.40
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 $134.90 / $549.54 / $1,230.27	Professional		$134.90	$549.54	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $141.25	Facility		$117.49	$125.89	$141.25
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 $138.04 / $436.52 / $1,230.27	Professional		$138.04	$436.52	$1,230.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $21,379.62	Facility		$933.25	$933.25	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $371.54 / $1,230.27	Professional		$138.04	$371.54	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $870.96	Facility		$100.00	$100.00	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $588.84 / $1,258.93	Professional		$109.65	$588.84	$1,258.93
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 $128.82 / $512.86 / $1,258.93	Professional		$128.82	$512.86	$1,258.93