Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $8,912.51 / $11,748.98	Facility		$1,659.59	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $3,090.30	Professional		$1,318.26	$1,584.89	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $14,791.08	Facility		$1,698.24	$5,248.07	$14,791.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,344.23	Professional		$1,148.15	$1,445.44	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,819.70	Facility		$1,380.38	$1,445.44	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,737.80	Professional		$1,548.82	$1,548.82	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,511.89 / $2,511.89	Facility		$34.67	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $3,235.94	Professional		$1,148.15	$1,862.09	$3,235.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,511.89 / $21,379.62	Facility		$426.58	$2,511.89	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,819.70 / $3,019.95	Professional		$562.34	$1,819.70	$3,019.95
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 $1,412.54 / $1,659.59 / $3,162.28	Professional		$1,412.54	$1,659.59	$3,162.28
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 $1,148.15 / $1,584.89 / $2,630.27	Professional		$1,148.15	$1,584.89	$2,630.27