Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,912.51 / $11,748.98	Facility		$2,137.96	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $5,128.61	Professional		$1,737.80	$2,187.76	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $12,302.69 / $30,199.52	Facility		$3,388.44	$12,302.69	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,630.78	Professional		$1,621.81	$2,041.74	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,344.23	Facility		$1,995.26	$1,995.26	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $21,379.62	Facility		$1,659.59	$1,995.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,570.40 / $3,981.07	Professional		$724.44	$2,570.40	$3,981.07
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 $724.44 / $2,570.40 / $4,168.69	Professional		$724.44	$2,570.40	$4,168.69
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 $2,187.76 / $2,511.89 / $4,786.30	Professional		$2,187.76	$2,511.89	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,981.07	Professional		$1,659.59	$2,290.87	$3,981.07