Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $602.56 / $6,606.93	Facility		$85.11	$602.56	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $131.83 / $295.12	Professional		$45.71	$131.83	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $151.36	Professional		$85.11	$109.65	$151.36
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 $47.86 / $102.33 / $177.83	Professional		$47.86	$102.33	$177.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $125.89 / $208.93	Professional		$48.98	$125.89	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $54.95 / $60.26	Facility		$35.48	$54.95	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $257.04	Professional		$120.23	$151.36	$257.04
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 $45.71 / $107.15 / $218.78	Professional		$45.71	$107.15	$218.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $457.09 / $1,047.13	Facility		$229.09	$457.09	$1,047.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $117.49 / $218.78	Professional		$44.67	$117.49	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $43.65	Professional		$28.84	$33.11	$43.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $501.19	Facility		$100.00	$100.00	$501.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $107.15 / $181.97	Professional		$40.74	$107.15	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $2,951.21	Facility		$316.23	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $97.72 / $177.83	Professional		$42.66	$97.72	$177.83