Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,630.78 / $10,715.19	Facility		$1,445.44	$3,630.78	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $3,467.37	Professional		$870.96	$1,071.52	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $16,982.44	Facility		$1,995.26	$3,548.13	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,819.70	Professional		$851.14	$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 $194.98 / $1,202.26 / $1,905.46	Professional		$194.98	$1,202.26	$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 $194.98 / $1,230.27 / $1,905.46	Professional		$194.98	$1,230.27	$1,905.46
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 / $6,606.93	Facility		$100.00	$100.00	$6,606.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,905.46	Professional		$870.96	$1,000.00	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11
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