Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,888.44 / $10,964.78	Facility		$1,023.29	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $3,235.94	Professional		$630.96	$724.44	$3,235.94
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 $588.84 / $776.25 / $1,230.27	Professional		$588.84	$776.25	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $776.25	Facility		$660.69	$660.69	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $21,379.62	Facility		$741.31	$1,096.48	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,318.26	Professional		$645.65	$912.01	$1,318.26
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 $602.56 / $912.01 / $1,380.38	Professional		$602.56	$912.01	$1,380.38
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 $645.65 / $758.58 / $1,445.44	Professional		$645.65	$758.58	$1,445.44
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 $512.86 / $741.31 / $1,202.26	Professional		$512.86	$741.31	$1,202.26