Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,168.69 / $10,964.78	Facility		$954.99	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,344.23	Professional		$707.95	$1,047.13	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,348.96	Professional		$776.25	$870.96	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,737.80	Professional		$812.83	$1,071.52	$1,737.80
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
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 $758.58 / $1,122.02 / $1,905.46	Professional		$758.58	$1,122.02	$1,905.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $21,379.62	Facility		$1,584.89	$1,584.89	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,778.28	Professional		$724.44	$1,122.02	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
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 $707.95 / $1,071.52 / $1,905.46	Professional		$707.95	$1,071.52	$1,905.46
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 $707.95 / $977.24 / $1,548.82	Professional		$707.95	$977.24	$1,548.82