Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,187.76 / $8,912.51	Facility		$131.83	$2,187.76	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $346.74	Professional		$72.44	$141.25	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $158.49	Professional		$64.57	$87.10	$158.49
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 $87.10 / $144.54 / $223.87	Professional		$87.10	$144.54	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $97.72 / $109.65	Facility		$63.10	$97.72	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $190.55	Professional		$154.88	$190.55	$190.55
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 $81.28 / $141.25 / $251.19	Professional		$81.28	$141.25	$251.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,019.95	Facility		$1,318.26	$1,819.70	$3,019.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $245.47	Professional		$75.86	$134.90	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $912.01	Facility		$100.00	$100.00	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $239.88	Professional		$77.62	$154.88	$239.88
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 $75.86 / $131.83 / $213.80	Professional		$75.86	$131.83	$213.80