Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,818.38 / $10,715.19	Facility		$602.56	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,621.81	Professional		$436.52	$630.96	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $831.76	Professional		$524.81	$524.81	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $977.24	Professional		$446.68	$602.56	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
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 $478.63 / $707.95 / $1,174.90	Professional		$478.63	$707.95	$1,174.90
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 $457.09 / $707.95 / $1,096.48	Professional		$457.09	$707.95	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,511.89	Facility		$100.00	$100.00	$2,511.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,258.93	Professional		$467.74	$691.83	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $977.24	Professional		$426.58	$588.84	$977.24