Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $8,912.51 / $11,748.98	Facility		$1,862.09	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,548.13	Professional		$1,445.44	$1,778.28	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,456.54 / $15,135.61	Facility		$1,698.24	$6,456.54	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,691.53	Professional		$1,380.38	$1,659.59	$2,691.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $2,041.74	Facility		$1,548.82	$1,584.89	$2,041.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,949.84	Professional		$1,737.80	$1,737.80	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,778.28 / $2,754.23	Facility		$34.67	$1,778.28	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $3,548.13	Professional		$1,288.25	$2,089.30	$3,548.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,754.23 / $21,379.62	Facility		$426.58	$2,754.23	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,089.30 / $3,388.44	Professional		$741.31	$2,089.30	$3,388.44
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 $1,548.82 / $1,819.70 / $3,467.37	Professional		$1,548.82	$1,819.70	$3,467.37
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 $1,318.26 / $1,778.28 / $2,951.21	Professional		$1,318.26	$1,778.28	$2,951.21