Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,818.38 / $10,715.19	Facility		$323.59	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $2,089.30	Professional		$144.54	$190.55	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $363.08	Professional		$162.18	$208.93	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $173.78 / $204.17	Facility		$169.82	$173.78	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $363.08	Professional		$169.82	$239.88	$363.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $380.19	Professional		$173.78	$263.03	$380.19
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 / $371.54	Facility		$100.00	$100.00	$371.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $363.08	Professional		$165.96	$194.98	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $323.59	Professional		$154.88	$208.93	$323.59