Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,412.54	Facility		$831.76	$1,000.00	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,288.25	Professional		$776.25	$954.99	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,995.26	Professional		$1,047.13	$1,096.48	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $1,584.89	Facility		$77.62	$154.88	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $1,905.46	Professional		$102.33	$208.93	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,000.00	Facility		$831.76	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,348.96	Professional		$831.76	$831.76	$1,348.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,000.00 / $1,000.00	Facility		$223.87	$1,000.00	$1,000.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,000.00	Professional		$758.58	$831.76	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $229.09 / $1,513.56	Professional		$83.18	$229.09	$1,513.56
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $4,365.16	Professional		$1,584.89	$2,290.87	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $630.96 / $1,202.26	Facility		$89.13	$630.96	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,202.26	Professional		$478.63	$724.44	$1,202.26