Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $851.14 / $9,120.11	Facility		$338.84	$851.14	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $831.76	Professional		$295.12	$416.87	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $371.54	Professional		$302.00	$323.59	$371.54
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 $229.09 / $309.03 / $501.19	Professional		$229.09	$309.03	$501.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $426.58	Professional		$380.19	$380.19	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $371.54	Facility		$316.23	$316.23	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $21,379.62	Facility		$309.03	$501.19	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $616.60	Professional		$309.03	$426.58	$616.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $380.19 / $21,379.62	Facility		$338.84	$380.19	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $630.96	Professional		$295.12	$416.87	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $302.00	Facility		$100.00	$100.00	$302.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $724.44	Professional		$331.13	$407.38	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $549.54	Professional		$234.42	$338.84	$549.54