Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,585.78 / $12,022.64	Facility		$1,778.28	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $6,309.57	Professional		$870.96	$1,071.52	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,918.31 / $15,135.61	Facility		$2,238.72	$6,918.31	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,819.70	Professional		$831.76	$1,023.29	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $1,071.52	Facility		$891.25	$933.25	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,230.27 / $1,905.46	Professional		$389.05	$1,230.27	$1,905.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,230.27 / $1,905.46	Professional		$389.05	$1,230.27	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$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 $870.96 / $1,023.29 / $1,905.46	Professional		$870.96	$1,023.29	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,778.28	Professional		$831.76	$1,096.48	$1,778.28