Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $323.59 / $8,912.51	Facility		$87.10	$323.59	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $354.81	Professional		$70.79	$141.25	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $128.82	Professional		$50.12	$89.13	$128.82
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 $74.13 / $120.23 / $190.55	Professional		$74.13	$120.23	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $74.13 / $81.28	Facility		$47.86	$74.13	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $223.87	Professional		$97.72	$125.89	$223.87
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 $66.07 / $117.49 / $199.53	Professional		$66.07	$117.49	$199.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $21,379.62	Facility		$199.53	$295.12	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $208.93	Professional		$64.57	$112.20	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $52.48	Professional		$32.36	$33.11	$52.48
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $162.18	Facility		$100.00	$100.00	$162.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $204.17	Professional		$58.88	$107.15	$204.17
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 $60.26 / $100.00 / $165.96	Professional		$60.26	$100.00	$165.96