Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $5,495.41 / $11,748.98	Facility		$245.47	$5,495.41	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $776.25	Professional		$181.97	$251.19	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,090.30 / $7,943.28	Facility		$1,348.96	$3,090.30	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $645.65	Professional		$213.80	$416.87	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $251.19	Facility		$208.93	$213.80	$251.19
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 $208.93 / $302.00 / $446.68	Professional		$208.93	$302.00	$446.68
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 $213.80 / $302.00 / $457.09	Professional		$213.80	$302.00	$457.09
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 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $537.03	Professional		$204.17	$263.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $7,413.10	Facility		$2,398.83	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $407.38	Professional		$190.55	$251.19	$407.38