Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $5,128.61 / $10,964.78	Facility		$501.19	$5,128.61	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $4,168.69	Professional		$288.40	$338.84	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $588.84	Professional		$269.15	$331.13	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $302.00 / $338.84	Facility		$281.84	$302.00	$338.84
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 $239.88 / $389.05 / $602.56	Professional		$239.88	$389.05	$602.56
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 $257.04 / $398.11 / $602.56	Professional		$257.04	$398.11	$602.56
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 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $616.60	Professional		$281.84	$323.59	$616.60
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 $263.03 / $346.74 / $537.03	Professional		$263.03	$346.74	$537.03