Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,888.44 / $10,964.78	Facility		$977.24	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $3,235.94	Professional		$562.34	$676.08	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,122.02	Professional		$524.81	$691.83	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $741.31	Facility		$616.60	$616.60	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $21,379.62	Facility		$645.65	$1,023.29	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,202.26	Professional		$602.56	$831.76	$1,202.26
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 $575.44 / $812.83 / $1,202.26	Professional		$575.44	$812.83	$1,202.26
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 / $1,995.26	Facility		$100.00	$100.00	$1,995.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,380.38	Professional		$630.96	$741.31	$1,380.38
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 $457.09 / $676.08 / $1,096.48	Professional		$457.09	$676.08	$1,096.48