Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,715.35 / $5,128.61	Facility		$1,288.25	$3,715.35	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,884.03	Professional		$1,000.00	$1,288.25	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $4,073.80	Facility		$3,467.37	$3,981.07	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,778.28	Professional		$758.58	$1,047.13	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $338.84 / $407.38	Facility		$69.18	$338.84	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $1,737.80	Facility		$363.08	$363.08	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $457.09 / $891.25	Professional		$138.04	$457.09	$891.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,737.80 / $4,570.88	Facility		$363.08	$1,737.80	$4,570.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $977.24	Professional		$363.08	$524.81	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,905.46	Professional		$912.01	$1,122.02	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $3,388.44	Facility		$1,096.48	$1,096.48	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,380.38 / $2,754.23	Professional		$724.44	$1,380.38	$2,754.23