Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,995.26 / $10,232.93	Facility		$158.49	$1,995.26	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $478.63 / $1,949.84	Professional		$77.62	$478.63	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $263.03	Professional		$66.07	$134.90	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $512.86 / $1,148.15	Professional		$87.10	$512.86	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $89.13 / $100.00	Facility		$83.18	$89.13	$100.00
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 $97.72 / $549.54 / $1,148.15	Professional		$97.72	$549.54	$1,148.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $21,379.62	Facility		$3,019.95	$3,019.95	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $549.54 / $1,148.15	Professional		$100.00	$549.54	$1,148.15
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 $77.62 / $537.03 / $1,174.90	Professional		$77.62	$537.03	$1,174.90
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 $83.18 / $489.78 / $1,174.90	Professional		$83.18	$489.78	$1,174.90