Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,951.21 / $10,232.93	Facility		$295.12	$2,951.21	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $691.83	Professional		$194.98	$316.23	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $275.42 / $316.23	Professional		$93.33	$275.42	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $457.09	Professional		$199.53	$281.84	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
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 $218.78 / $338.84 / $588.84	Professional		$218.78	$338.84	$588.84
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 $208.93 / $338.84 / $537.03	Professional		$208.93	$338.84	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,041.74	Facility		$100.00	$100.00	$2,041.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $588.84	Professional		$194.98	$316.23	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,073.80	Facility		$1,096.48	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $467.74	Professional		$194.98	$288.40	$467.74