Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $9,120.11 / $12,022.64	Facility		$4,677.35	$9,120.11	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $10,000.00	Professional		$4,168.69	$5,011.87	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,388.44 / $15,135.61	Facility		$954.99	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $7,943.28	Professional		$3,890.45	$4,897.79	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,570.88 / $5,888.44	Facility		$4,466.84	$4,570.88	$5,888.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,623.41	Professional		$4,897.79	$4,897.79	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,128.61 / $7,943.28	Facility		$34.67	$5,128.61	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $10,232.93	Professional		$3,548.13	$6,025.60	$10,232.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $7,943.28 / $21,379.62	Facility		$426.58	$7,943.28	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $5,888.44 / $9,549.93	Professional		$1,202.26	$5,888.44	$9,549.93
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 $4,466.84 / $5,248.07 / $10,000.00	Professional		$4,466.84	$5,248.07	$10,000.00
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 $3,801.89 / $5,011.87 / $8,511.38	Professional		$3,801.89	$5,011.87	$8,511.38