Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,344.23 / $10,232.93	Facility		$407.38	$2,344.23	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $1,000.00	Professional		$263.03	$489.78	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $416.87	Professional		$190.55	$309.03	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $3,981.07	Facility		$891.25	$2,238.72	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $812.83	Professional		$354.81	$501.19	$812.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $501.19	Professional		$489.78	$501.19	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $354.81 / $389.05	Facility		$223.87	$354.81	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,000.00	Professional		$457.09	$575.44	$1,000.00
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 $309.03 / $524.81 / $891.25	Professional		$309.03	$524.81	$891.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $21,379.62	Facility		$537.03	$851.14	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $812.83	Professional		$239.88	$446.68	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
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 $269.15 / $478.63 / $870.96	Professional		$269.15	$478.63	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $954.99 / $2,951.21	Facility		$467.74	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $741.31	Professional		$269.15	$457.09	$741.31