Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,918.31 / $12,022.64	Facility		$1,659.59	$6,918.31	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $5,128.61	Professional		$977.24	$1,202.26	$5,128.61
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 $977.24 / $1,174.90 / $2,041.74	Professional		$977.24	$1,174.90	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $21,379.62	Facility		$891.25	$1,380.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,380.38 / $2,137.96	Professional		$194.98	$1,380.38	$2,137.96
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 / $1,380.38 / $2,137.96	Professional		$194.98	$1,380.38	$2,137.96
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 $977.24 / $1,148.15 / $2,187.76	Professional		$977.24	$1,148.15	$2,187.76
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 $933.25 / $1,202.26 / $1,905.46	Professional		$933.25	$1,202.26	$1,905.46