Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,888.44 / $10,964.78	Facility		$1,621.81	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $3,981.07	Professional		$1,096.48	$1,288.25	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,041.74	Professional		$954.99	$1,258.93	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Facility		$1,202.26	$1,202.26	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $21,379.62	Facility		$1,318.26	$1,905.46	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,344.23	Professional		$1,174.90	$1,621.81	$2,344.23
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 $1,071.52 / $1,621.81 / $2,398.83	Professional		$1,071.52	$1,621.81	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,995.26	Facility		$100.00	$100.00	$1,995.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,511.89	Professional		$1,148.15	$1,348.96	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,244.36	Facility		$2,238.72	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,137.96	Professional		$870.96	$1,318.26	$2,137.96