Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,912.51 / $11,748.98	Facility		$1,905.46	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $4,168.69	Professional		$1,621.81	$1,949.84	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $3,235.94	Professional		$1,288.25	$1,778.28	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $1,949.84	Facility		$1,621.81	$1,659.59	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $21,379.62	Facility		$1,412.54	$1,995.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,467.37	Professional		$794.33	$2,238.72	$3,467.37
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 $794.33 / $2,238.72 / $3,548.13	Professional		$794.33	$2,238.72	$3,548.13
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $3,715.35	Professional		$1,698.24	$1,949.84	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,311.31	Professional		$1,380.38	$1,949.84	$3,311.31