Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $3,715.35 / $11,748.98	Facility		$75.86	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $309.03	Professional		$64.57	$134.90	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $154.88	Professional		$112.20	$128.82	$154.88
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 $64.57 / $104.71 / $190.55	Professional		$64.57	$104.71	$190.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $158.49	Professional		$134.90	$134.90	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
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 $72.44 / $138.04 / $245.47	Professional		$72.44	$138.04	$245.47
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 $69.18 / $141.25 / $234.42	Professional		$69.18	$141.25	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
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 $61.66 / $147.91 / $223.87	Professional		$61.66	$147.91	$223.87
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 $64.57 / $117.49 / $218.78	Professional		$64.57	$117.49	$218.78