Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,884.03 / $8,128.31	Facility		$239.88	$2,884.03	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $446.68	Professional		$85.11	$204.17	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $245.47	Professional		$85.11	$97.72	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $208.93 / $363.08	Professional		$100.00	$208.93	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $109.65	Facility		$91.20	$97.72	$109.65
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 $107.15 / $223.87 / $416.87	Professional		$107.15	$223.87	$416.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,238.72 / $4,677.35	Facility		$831.76	$2,238.72	$4,677.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $416.87	Professional		$109.65	$223.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
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 $87.10 / $229.09 / $363.08	Professional		$87.10	$229.09	$363.08
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 $95.50 / $199.53 / $389.05	Professional		$95.50	$199.53	$389.05