Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,019.95 / $10,715.19	Facility		$1,096.48	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $2,570.40	Professional		$173.78	$295.12	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
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 $426.58 / $549.54 / $912.01	Professional		$426.58	$549.54	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $4,677.35 / $41,686.94	Facility		$309.03	$4,677.35	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $5,248.07 / $9,120.11	Professional		$407.38	$5,248.07	$9,120.11
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 $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $575.44	Professional		$165.96	$302.00	$575.44