Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $10,715.19	Facility		$707.95	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $2,089.30	Professional		$426.58	$537.03	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,951.21 / $7,943.28	Facility		$1,000.00	$2,951.21	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $870.96	Professional		$398.11	$489.78	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $467.74 / $524.81	Facility		$436.52	$467.74	$524.81
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 / $588.84 / $933.25	Professional		$194.98	$588.84	$933.25
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 / $602.56 / $933.25	Professional		$194.98	$602.56	$933.25
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 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $954.99	Professional		$426.58	$501.19	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $851.14	Professional		$407.38	$524.81	$851.14