Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,079.46 / $12,022.64	Facility		$1,698.24	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $4,073.80	Professional		$1,023.29	$1,174.90	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $15,135.61	Facility		$1,698.24	$3,715.35	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,290.87	Professional		$1,047.13	$1,412.54	$2,290.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,288.25	Facility		$1,096.48	$1,096.48	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $21,379.62	Facility		$1,258.93	$1,778.28	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,290.87	Professional		$1,071.52	$1,548.82	$2,290.87
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 $977.24 / $1,513.56 / $2,344.23	Professional		$977.24	$1,513.56	$2,344.23
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 $1,047.13 / $1,230.27 / $2,344.23	Professional		$1,047.13	$1,230.27	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,606.93 / $10,471.29	Facility		$3,235.94	$6,606.93	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,995.26	Professional		$851.14	$1,318.26	$1,995.26