Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $8,912.51 / $11,748.98	Facility		$1,288.25	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,090.30	Professional		$1,047.13	$1,288.25	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $20,417.38	Facility		$2,511.89	$9,549.93	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,290.87	Professional		$1,071.52	$1,380.38	$2,290.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,380.38	Facility		$1,148.15	$1,202.26	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $21,379.62	Facility		$977.24	$1,318.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,548.82 / $2,398.83	Professional		$524.81	$1,548.82	$2,398.83
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 $524.81 / $1,548.82 / $2,398.83	Professional		$524.81	$1,548.82	$2,398.83
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,570.40	Professional		$1,148.15	$1,348.96	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,344.23	Professional		$1,023.29	$1,318.26	$2,344.23