Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,585.78 / $12,022.64	Facility		$1,445.44	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $6,309.57	Professional		$676.08	$851.14	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,311.31 / $7,943.28	Facility		$1,000.00	$3,311.31	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,318.26	Professional		$602.56	$776.25	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,513.56	Facility		$933.25	$933.25	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $21,379.62	Facility		$1,122.02	$1,258.93	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,548.82	Professional		$616.60	$933.25	$1,548.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $21,379.62	Facility		$1,122.02	$1,258.93	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,659.59	Professional		$645.65	$954.99	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $537.03	Professional		$407.38	$457.09	$537.03
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $645.65 / $2,818.38	Facility		$100.00	$645.65	$2,818.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $1,862.09	Professional		$60.26	$75.86	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,265.80 / $7,244.36	Facility		$1,737.80	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,412.54	Professional		$602.56	$794.33	$1,412.54