Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,888.44 / $10,964.78	Facility		$891.25	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $1,380.38	Professional		$446.68	$524.81	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,019.95 / $7,943.28	Facility		$954.99	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $794.33	Professional		$389.05	$489.78	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $512.86 / $1,737.80	Facility		$457.09	$512.86	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $575.44	Professional		$512.86	$512.86	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $2,137.96	Facility		$478.63	$812.83	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $1,047.13	Professional		$380.19	$616.60	$1,047.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $2,818.38	Facility		$575.44	$812.83	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $977.24	Professional		$371.54	$588.84	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,388.44	Facility		$100.00	$100.00	$3,388.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,071.52	Professional		$489.78	$575.44	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,168.69 / $7,244.36	Facility		$794.33	$4,168.69	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $831.76	Professional		$371.54	$501.19	$831.76