Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $8,912.51 / $11,748.98	Facility		$691.83	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,348.96	Professional		$588.84	$691.83	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $15,135.61	Facility		$1,698.24	$6,025.60	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,122.02	Professional		$549.54	$691.83	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $645.65 / $776.25	Facility		$602.56	$645.65	$776.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $758.58	Professional		$660.69	$660.69	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,000.00 / $1,202.26	Facility		$34.67	$1,000.00	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,412.54	Professional		$512.86	$831.76	$1,412.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $21,379.62	Facility		$602.56	$1,071.52	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,288.25	Professional		$478.63	$812.83	$1,288.25
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 $562.34 / $660.69 / $1,258.93	Professional		$562.34	$660.69	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,122.02	Professional		$501.19	$691.83	$1,122.02