Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,606.93 / $11,481.54	Facility		$2,344.23	$6,606.93	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $5,754.40	Professional		$524.81	$776.25	$5,754.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $812.83	Professional		$147.91	$147.91	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,584.89	Professional		$758.58	$891.25	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $13,182.57 / $23,442.29	Professional		$1,023.29	$13,182.57	$23,442.29
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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $60.26	Professional		$30.20	$60.26	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $5,128.61	Facility		$1,148.15	$1,148.15	$5,128.61
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,606.93 / $10,471.29	Facility		$2,884.03	$6,606.93	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,584.89	Professional		$724.44	$954.99	$1,584.89