Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,951.21 / $10,232.93	Facility		$269.15	$2,951.21	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $630.96	Professional		$158.49	$263.03	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $398.11	Professional		$165.96	$245.47	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
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 $186.21 / $281.84 / $489.78	Professional		$186.21	$281.84	$489.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $21,379.62	Facility		$2,884.03	$2,884.03	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $446.68	Professional		$181.97	$281.84	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,041.74	Facility		$100.00	$100.00	$2,041.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $467.74	Professional		$173.78	$275.42	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $389.05	Professional		$158.49	$239.88	$389.05