Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $6,918.31 / $12,022.64	Facility		$912.01	$6,918.31	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $2,041.74	Professional		$524.81	$602.56	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,023.29	Professional		$489.78	$645.65	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $660.69	Facility		$562.34	$562.34	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $21,379.62	Facility		$616.60	$912.01	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,122.02	Professional		$549.54	$776.25	$1,122.02
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 $512.86 / $776.25 / $1,174.90	Professional		$512.86	$776.25	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,230.27	Professional		$549.54	$645.65	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,025.60 / $9,120.11	Facility		$2,818.38	$6,025.60	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,000.00	Professional		$426.58	$630.96	$1,000.00