Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $8,912.51 / $11,748.98	Facility		$489.78	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $912.01	Professional		$398.11	$467.74	$912.01
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 $288.40 / $436.52 / $724.44	Professional		$288.40	$436.52	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $537.03	Facility		$407.38	$426.58	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $512.86	Professional		$457.09	$457.09	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $575.44 / $1,202.26	Facility		$34.67	$575.44	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $954.99	Professional		$371.54	$575.44	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $1,202.26	Facility		$524.81	$741.31	$1,202.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $912.01	Professional		$380.19	$549.54	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
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 $416.87 / $489.78 / $933.25	Professional		$416.87	$489.78	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,290.87 / $4,897.79	Facility		$645.65	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $776.25	Professional		$346.74	$478.63	$776.25