Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,570.40 / $10,715.19	Facility		$562.34	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,445.44	Professional		$446.68	$537.03	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,981.07	Facility		$707.95	$1,995.26	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $870.96	Professional		$426.58	$549.54	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $549.54	Facility		$467.74	$467.74	$549.54
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $977.24	Professional		$467.74	$676.08	$977.24
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 $457.09 / $676.08 / $977.24	Professional		$457.09	$676.08	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $302.00	Facility		$100.00	$100.00	$302.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,096.48	Professional		$467.74	$602.56	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $891.25	Professional		$371.54	$562.34	$891.25