Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,162.28 / $8,912.51	Facility		$229.09	$3,162.28	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $1,000.00	Professional		$120.23	$346.74	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $204.17	Professional		$120.23	$120.23	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $346.74 / $1,230.27	Professional		$109.65	$346.74	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $144.54	Facility		$123.03	$123.03	$144.54
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 $134.90 / $263.03 / $776.25	Professional		$134.90	$263.03	$776.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $3,801.89	Facility		$1,905.46	$2,187.76	$3,801.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $776.25	Professional		$131.83	$263.03	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $93.33	Professional		$32.36	$33.11	$93.33
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 $117.49 / $288.40 / $794.33	Professional		$117.49	$288.40	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Facility		$1,698.24	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $281.84 / $812.83	Professional		$109.65	$281.84	$812.83