Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,951.21 / $10,232.93	Facility		$338.84	$2,951.21	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $870.96	Professional		$234.42	$371.54	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $537.03	Professional		$147.91	$223.87	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $512.86	Professional		$234.42	$316.23	$512.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
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 $257.04 / $371.54 / $616.60	Professional		$257.04	$371.54	$616.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $4,786.30	Facility		$2,754.23	$4,365.16	$4,786.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $588.84	Professional		$245.47	$371.54	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
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 $251.19 / $354.81 / $645.65	Professional		$251.19	$354.81	$645.65
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 $229.09 / $323.59 / $524.81	Professional		$229.09	$323.59	$524.81