Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $7,585.78 / $12,022.64	Facility		$954.99	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $2,570.40	Professional		$512.86	$660.69	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $16,982.44	Facility		$2,398.83	$4,570.88	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,000.00	Professional		$489.78	$645.65	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $676.08	Facility		$575.44	$575.44	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $21,379.62	Facility		$630.96	$933.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,122.02	Professional		$549.54	$794.33	$1,122.02
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 $512.86 / $758.58 / $1,148.15	Professional		$512.86	$758.58	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,398.83	Facility		$100.00	$100.00	$2,398.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,202.26	Professional		$537.03	$630.96	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,000.00	Professional		$426.58	$645.65	$1,000.00