Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,128.61 / $10,715.19	Facility		$562.34	$5,128.61	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $6,309.57 / $14,454.40	Facility	50	$954.99	$6,309.57	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $1,148.15	Professional		$363.08	$537.03	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $870.96	Professional		$223.87	$478.63	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $812.83	Professional		$346.74	$467.74	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $416.87 / $478.63	Facility		$398.11	$416.87	$478.63
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 $354.81 / $588.84 / $912.01	Professional		$354.81	$588.84	$912.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,754.40 / $16,218.10	Facility		$2,137.96	$5,754.40	$16,218.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $912.01	Professional		$354.81	$588.84	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,786.30	Facility		$100.00	$100.00	$4,786.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,071.52	Professional		$436.52	$616.60	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $870.96	Professional		$346.74	$524.81	$870.96