Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $3,311.31	Facility		$263.03	$389.05	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $851.14	Professional		$234.42	$288.40	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,467.37 / $3,630.78	Facility		$3,090.30	$3,467.37	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $416.87	Professional		$181.97	$245.47	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $213.80 / $257.04	Facility		$44.67	$213.80	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $794.33	Facility		$229.09	$229.09	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $660.69	Professional		$245.47	$346.74	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,884.03 / $4,466.84	Facility		$512.86	$2,884.03	$4,466.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $660.69	Professional		$263.03	$371.54	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $602.56	Professional		$288.40	$363.08	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $3,090.30	Facility		$977.24	$977.24	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $562.34	Professional		$194.98	$323.59	$562.34