Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $3,235.94 / $10,715.19	Facility		$245.47	$3,235.94	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $616.60	Professional		$154.88	$257.04	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $173.78	Professional		$91.20	$147.91	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $380.19	Professional		$144.54	$208.93	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
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 $181.97 / $275.42 / $467.74	Professional		$181.97	$275.42	$467.74
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 $177.83 / $263.03 / $436.52	Professional		$177.83	$263.03	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $446.68	Professional		$177.83	$281.84	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $7,244.36	Facility		$2,238.72	$4,365.16	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $363.08	Professional		$151.36	$229.09	$363.08