Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,912.51 / $11,748.98	Facility		$1,122.02	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,344.23	Professional		$954.99	$1,122.02	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $9,549.93 / $21,379.62	Facility		$2,238.72	$9,549.93	$21,379.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,659.59	Professional		$831.76	$1,000.00	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,258.93	Facility		$977.24	$1,047.13	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,230.27	Professional		$1,071.52	$1,071.52	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,148.15 / $1,778.28	Facility		$34.67	$1,148.15	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $2,290.87	Professional		$776.25	$1,318.26	$2,290.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,202.26 / $1,778.28	Facility		$524.81	$1,202.26	$1,778.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,288.25 / $2,089.30	Professional		$562.34	$1,288.25	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
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 $912.01 / $1,071.52 / $2,041.74	Professional		$912.01	$1,071.52	$2,041.74
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 $812.83 / $1,122.02 / $1,819.70	Professional		$812.83	$1,122.02	$1,819.70