Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,951.21 / $10,715.19	Facility		$501.19	$2,951.21	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,000.00	Professional		$323.59	$478.63	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $660.69	Professional		$316.23	$389.05	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $331.13 / $380.19	Facility		$316.23	$331.13	$380.19
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 $316.23 / $512.86 / $851.14	Professional		$316.23	$512.86	$851.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $21,379.62	Facility		$3,162.28	$3,162.28	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $851.14	Professional		$316.23	$524.81	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $331.13 / $537.03 / $977.24	Professional		$331.13	$537.03	$977.24
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 $316.23 / $478.63 / $794.33	Professional		$316.23	$478.63	$794.33