Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $8,912.51 / $11,748.98	Facility		$2,089.30	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $5,754.40	Professional		$1,659.59	$2,137.96	$5,754.40
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 $1,548.82 / $1,995.26 / $3,467.37	Professional		$1,548.82	$1,995.26	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $21,379.62	Facility		$1,380.38	$1,380.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $3,630.78	Professional		$1,513.56	$2,290.87	$3,630.78
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 $1,621.81 / $2,344.23 / $3,715.35	Professional		$1,621.81	$2,344.23	$3,715.35
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 Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,801.89	Professional		$1,659.59	$2,041.74	$3,801.89
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 $1,698.24 / $2,137.96 / $3,388.44	Professional		$1,698.24	$2,137.96	$3,388.44