Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $588.84 / $4,897.79	Facility		$97.72	$588.84	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $302.00	Professional		$50.12	$114.82	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $144.54	Professional		$51.29	$97.72	$144.54
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 $46.77 / $67.61 / $134.90	Professional		$46.77	$67.61	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $64.57 / $69.18	Facility		$40.74	$64.57	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $239.88	Professional		$112.20	$141.25	$239.88
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 $51.29 / $107.15 / $181.97	Professional		$51.29	$107.15	$181.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $3,090.30	Facility		$141.25	$177.83	$3,090.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $173.78	Professional		$48.98	$97.72	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $38.02	Professional		$25.12	$32.36	$38.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $245.47	Facility		$100.00	$100.00	$245.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $165.96	Professional		$52.48	$109.65	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $154.88	Professional		$47.86	$87.10	$154.88