Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,019.95 / $10,715.19	Facility		$870.96	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $2,454.71	Professional		$616.60	$912.01	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $616.60	Professional		$346.74	$346.74	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,412.54	Professional		$645.65	$870.96	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
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 $676.08 / $977.24 / $1,621.81	Professional		$676.08	$977.24	$1,621.81
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 $660.69 / $1,000.00 / $1,445.44	Professional		$660.69	$1,000.00	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
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 $676.08 / $954.99 / $1,737.80	Professional		$676.08	$954.99	$1,737.80
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 $602.56 / $851.14 / $1,380.38	Professional		$602.56	$851.14	$1,380.38