Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $8,912.51 / $12,302.69	Facility		$1,778.28	$8,912.51	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $8,317.64	Professional		$1,122.02	$1,288.25	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,454.71	Professional		$1,023.29	$1,412.54	$2,454.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,380.38	Facility		$1,148.15	$1,258.93	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $21,379.62	Facility		$1,071.52	$1,380.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,584.89 / $2,454.71	Professional		$331.13	$1,584.89	$2,454.71
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 $331.13 / $1,584.89 / $2,454.71	Professional		$331.13	$1,584.89	$2,454.71
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 / $100.00 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,570.40	Professional		$1,148.15	$1,348.96	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $10,964.78	Facility		$3,890.45	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,344.23	Professional		$1,047.13	$1,380.38	$2,344.23