Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,230.27 / $8,317.64	Facility		$239.88	$1,230.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $602.56	Professional		$131.83	$234.42	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $245.47	Professional		$117.49	$165.96	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,089.30 / $3,981.07	Facility		$776.25	$2,089.30	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $416.87	Professional		$186.21	$257.04	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $199.53	Facility		$117.49	$181.97	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $512.86	Professional		$223.87	$288.40	$512.86
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 $147.91 / $239.88 / $407.38	Professional		$147.91	$239.88	$407.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $912.01 / $2,187.76	Facility		$537.03	$912.01	$2,187.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $380.19	Professional		$138.04	$229.09	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $912.01	Facility		$100.00	$100.00	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $416.87	Professional		$141.25	$239.88	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $954.99 / $2,951.21	Facility		$467.74	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $354.81	Professional		$138.04	$218.78	$354.81