Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $1,380.38 / $10,232.93	Facility		$28.84	$1,380.38	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.88 / $104.71	Professional		$15.14	$33.88	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $31.62	Professional		$24.55	$29.51	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,511.89	Facility		$1,905.46	$2,137.96	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $61.66	Professional		$24.55	$38.02	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
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 $16.60 / $34.67 / $63.10	Professional		$16.60	$34.67	$63.10
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 $15.49 / $31.62 / $60.26	Professional		$15.49	$31.62	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $33.11	Professional		$15.14	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $32.36 / $64.57	Professional		$15.49	$32.36	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.90 / $52.48	Professional		$15.85	$30.90	$52.48