Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $2,089.30 / $10,715.19	Facility		$147.91	$2,089.30	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $346.74	Professional		$81.28	$144.54	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $141.25	Professional		$69.18	$100.00	$141.25
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 $93.33 / $138.04 / $223.87	Professional		$93.33	$138.04	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
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 $91.20 / $151.36 / $269.15	Professional		$91.20	$151.36	$269.15
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 $85.11 / $144.54 / $251.19	Professional		$85.11	$144.54	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $870.96	Facility		$100.00	$100.00	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $269.15	Professional		$83.18	$147.91	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $208.93	Professional		$83.18	$131.83	$208.93