Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,691.53 / $8,317.64	Facility		$288.40	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $302.00 / $891.25	Professional		$70.79	$302.00	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $323.59 / $338.84	Professional		$128.82	$323.59	$338.84
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 $93.33 / $501.19 / $851.14	Professional		$93.33	$501.19	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $724.44	Professional		$87.10	$181.97	$724.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $2,089.30	Facility		$758.58	$891.25	$2,089.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $707.95	Professional		$77.62	$173.78	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $870.96	Facility		$100.00	$100.00	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $323.59 / $630.96	Professional		$74.13	$323.59	$630.96
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 $75.86 / $302.00 / $676.08	Professional		$75.86	$302.00	$676.08