Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,630.78 / $7,762.47	Facility		$512.86	$3,630.78	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $354.81 / $1,071.52	Professional		$147.91	$354.81	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $467.74	Professional		$141.25	$165.96	$467.74
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 $177.83 / $478.63 / $954.99	Professional		$177.83	$478.63	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $213.80	Facility		$151.36	$181.97	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $1,023.29	Professional		$524.81	$588.84	$1,023.29
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 $169.82 / $436.52 / $977.24	Professional		$169.82	$436.52	$977.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $5,623.41	Facility		$1,737.80	$3,090.30	$5,623.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $407.38 / $977.24	Professional		$169.82	$407.38	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,041.74	Facility		$100.00	$100.00	$2,041.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $467.74 / $891.25	Professional		$151.36	$467.74	$891.25
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 $162.18 / $436.52 / $977.24	Professional		$162.18	$436.52	$977.24