Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,079.46 / $12,022.64	Facility		$1,862.09	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $3,235.94	Professional		$912.01	$1,071.52	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,621.81	Professional		$794.33	$1,047.13	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,122.02	Facility		$954.99	$954.99	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $21,379.62	Facility		$1,071.52	$1,621.81	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,862.09	Professional		$912.01	$1,318.26	$1,862.09
Medical Mutual of Ohio 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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,905.46	Professional		$870.96	$1,318.26	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $2,041.74	Professional		$912.01	$1,071.52	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $7,413.10	Facility		$2,570.40	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,659.59	Professional		$691.83	$1,047.13	$1,659.59