Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $10,715.19	Facility		$1,778.28	$3,981.07	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $1,737.80 / $6,606.93	Professional		$52.48	$1,737.80	$6,606.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $5,370.32	Professional		$199.53	$199.53	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $263.03	Professional		$74.13	$125.89	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $812.83 / $41,686.94	Facility		$54.95	$812.83	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $91,201.08 / $162,181.01	Professional		$7,244.36	$91,201.08	$162,181.01
Cigna 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 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
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 $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $144.54 / $9,120.11	Professional		$50.12	$144.54	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $977.24 / $3,019.95	Facility		$478.63	$977.24	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $1,348.96 / $3,162.28	Professional		$51.29	$1,348.96	$3,162.28