Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,079.46 / $12,022.64	Facility		$912.01	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $5,128.61	Professional		$501.19	$616.60	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,365.16 / $15,135.61	Facility		$1,949.84	$4,365.16	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,096.48	Professional		$501.19	$645.65	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $549.54 / $616.60	Facility		$512.86	$549.54	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $21,379.62	Facility		$457.09	$660.69	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $724.44 / $1,096.48	Professional		$389.05	$724.44	$1,096.48
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 $389.05 / $724.44 / $1,096.48	Professional		$389.05	$724.44	$1,096.48
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 / $8,709.64	Facility		$100.00	$100.00	$8,709.64
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,047.13	Professional		$478.63	$562.34	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,047.13	Professional		$478.63	$616.60	$1,047.13