Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,630.27 / $10,715.19	Facility		$186.21	$2,630.27	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $489.78	Professional		$144.54	$177.83	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $281.84	Professional		$117.49	$158.49	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $162.18 / $177.83	Facility		$147.91	$162.18	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $21,379.62	Facility		$128.82	$177.83	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $346.74	Professional		$154.88	$223.87	$346.74
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 $162.18 / $223.87 / $354.81	Professional		$162.18	$223.87	$354.81
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 / $1,905.46	Facility		$100.00	$100.00	$1,905.46
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $380.19	Professional		$144.54	$194.98	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $295.12	Professional		$131.83	$177.83	$295.12