Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $10,715.19	Facility		$1,258.93	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,949.84	Professional		$616.60	$741.31	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,365.16 / $16,982.44	Facility		$1,071.52	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,148.15	Professional		$549.54	$691.83	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $691.83 / $4,677.35	Facility		$616.60	$691.83	$4,677.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $758.58	Professional		$676.08	$676.08	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,096.48 / $7,585.78	Facility		$34.67	$1,096.48	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,412.54	Professional		$489.78	$831.76	$1,412.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,096.48 / $7,585.78	Facility		$562.34	$1,096.48	$7,585.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,318.26	Professional		$457.09	$794.33	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,380.38	Professional		$616.60	$724.44	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,456.54 / $10,964.78	Facility		$1,047.13	$6,456.54	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,122.02	Professional		$512.86	$707.95	$1,122.02