Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,949.84 / $9,120.11	Facility		$354.81	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $794.33	Professional		$218.78	$380.19	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $398.11	Professional		$199.53	$331.13	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,089.30 / $3,981.07	Facility		$776.25	$2,089.30	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $549.54	Professional		$234.42	$323.59	$549.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
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 $251.19 / $398.11 / $707.95	Professional		$251.19	$398.11	$707.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $21,379.62	Facility		$1,288.25	$1,288.25	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $616.60	Professional		$229.09	$371.54	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $501.19	Facility		$100.00	$100.00	$501.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $630.96	Professional		$208.93	$380.19	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $2,951.21	Facility		$316.23	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $549.54	Professional		$213.80	$331.13	$549.54