Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,862.09 / $8,912.51	Facility		$316.23	$1,862.09	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $269.15 / $1,348.96	Professional		$72.44	$269.15	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $134.90	Professional		$74.13	$83.18	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $338.84 / $776.25	Professional		$85.11	$338.84	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $81.28 / $91.20	Facility		$75.86	$81.28	$91.20
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 $89.13 / $363.08 / $794.33	Professional		$89.13	$363.08	$794.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $5,754.40	Facility		$1,258.93	$2,884.03	$5,754.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $363.08 / $812.83	Professional		$91.20	$363.08	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $354.81 / $776.25	Professional		$72.44	$354.81	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $331.13 / $776.25	Professional		$81.28	$331.13	$776.25