Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,265.80 / $10,964.78	Facility		$512.86	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $977.24	Professional		$295.12	$467.74	$977.24
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 $245.47 / $346.74 / $630.96	Professional		$245.47	$346.74	$630.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $524.81 / $954.99	Professional	50	$371.54	$524.81	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $1,288.25	Facility		$371.54	$371.54	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $21,379.62	Facility		$954.99	$1,047.13	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $812.83	Professional		$295.12	$457.09	$812.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $21,379.62	Facility		$954.99	$1,047.13	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $891.25	Professional		$295.12	$457.09	$891.25
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 / $562.34 / $2,951.21	Facility		$100.00	$562.34	$2,951.21
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $891.25	Professional		$288.40	$489.78	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,265.80 / $7,244.36	Facility		$1,778.28	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $707.95	Professional		$263.03	$398.11	$707.95