Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,019.95 / $10,715.19	Facility		$549.54	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $1,148.15	Professional		$457.09	$537.03	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,089.30 / $3,981.07	Facility		$776.25	$2,089.30	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $912.01	Professional		$436.52	$562.34	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $575.44	Facility		$489.78	$489.78	$575.44
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 $478.63 / $676.08 / $977.24	Professional		$478.63	$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 $446.68 / $676.08 / $1,023.29	Professional		$446.68	$676.08	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
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 $478.63 / $588.84 / $1,122.02	Professional		$478.63	$588.84	$1,122.02
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 / $549.54 / $870.96	Professional		$371.54	$549.54	$870.96