Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $8,912.51 / $32,359.37	Facility		$2,398.83	$8,912.51	$32,359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $5,370.32	Professional		$1,737.80	$2,137.96	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,888.44 / $15,135.61	Facility		$1,949.84	$5,888.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,801.89	Professional		$1,698.24	$2,187.76	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
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 $1,584.89 / $2,454.71 / $3,715.35	Professional		$1,584.89	$2,454.71	$3,715.35
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 $1,698.24 / $2,630.27 / $3,890.45	Professional		$1,698.24	$2,630.27	$3,890.45
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 $1,737.80 / $2,187.76 / $4,073.80	Professional		$1,737.80	$2,187.76	$4,073.80
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 $1,778.28 / $2,290.87 / $3,548.13	Professional		$1,778.28	$2,290.87	$3,548.13