Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $8,912.51 / $11,748.98	Facility		$1,621.81	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $3,162.28	Professional		$1,318.26	$1,584.89	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,918.31 / $16,982.44	Facility		$2,511.89	$6,918.31	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,398.83	Professional		$1,122.02	$1,412.54	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $21,379.62	Facility		$1,071.52	$1,071.52	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,754.23	Professional		$1,174.90	$1,737.80	$2,754.23
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 $1,230.27 / $1,819.70 / $2,754.23	Professional		$1,230.27	$1,819.70	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,884.03	Professional		$1,258.93	$1,548.82	$2,884.03
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 $1,318.26 / $1,698.24 / $2,570.40	Professional		$1,318.26	$1,698.24	$2,570.40