Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,128.61 / $11,748.98	Facility		$794.33	$5,128.61	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,659.59	Professional		$602.56	$776.25	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,818.38 / $7,943.28	Facility		$1,071.52	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,000.00	Professional		$467.74	$630.96	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Facility		$602.56	$602.56	$707.95
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 $602.56 / $891.25 / $1,348.96	Professional		$602.56	$891.25	$1,348.96
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 $588.84 / $891.25 / $1,380.38	Professional		$588.84	$891.25	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,905.46	Facility		$100.00	$100.00	$1,905.46
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,445.44	Professional		$602.56	$794.33	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Facility		$1,698.24	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,202.26	Professional		$478.63	$741.31	$1,202.26