Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,698.24 / $10,232.93	Facility		$123.03	$1,698.24	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $371.54	Professional		$66.07	$138.04	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $72.44	Professional		$52.48	$60.26	$72.44
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 $112.20 / $186.21 / $288.40	Professional		$112.20	$186.21	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
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 $77.62 / $147.91 / $263.03	Professional		$77.62	$147.91	$263.03
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 $75.86 / $138.04 / $251.19	Professional		$75.86	$138.04	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
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 $75.86 / $169.82 / $257.04	Professional		$75.86	$169.82	$257.04
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 $70.79 / $134.90 / $223.87	Professional		$70.79	$134.90	$223.87