Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,570.40 / $10,715.19	Facility		$281.84	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $562.34	Professional		$147.91	$288.40	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $3,981.07	Facility		$707.95	$2,238.72	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $275.42	Professional		$120.23	$165.96	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $181.97	Facility		$154.88	$154.88	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $346.74 / $21,379.62	Facility		$177.83	$346.74	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $537.03	Professional		$169.82	$295.12	$537.03
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 $165.96 / $288.40 / $537.03	Professional		$165.96	$288.40	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,096.48	Facility		$100.00	$100.00	$1,096.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $323.59 / $489.78	Professional		$138.04	$323.59	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $524.81	Professional		$141.25	$275.42	$524.81