Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,019.95 / $11,748.98	Facility		$208.93	$3,019.95	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $363.08	Professional		$134.90	$208.93	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $363.08	Professional		$93.33	$93.33	$363.08
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 $117.49 / $165.96 / $275.42	Professional		$117.49	$165.96	$275.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $162.18	Facility		$138.04	$138.04	$162.18
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 $147.91 / $229.09 / $371.54	Professional		$147.91	$229.09	$371.54
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 $147.91 / $229.09 / $371.54	Professional		$147.91	$229.09	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
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 $144.54 / $239.88 / $363.08	Professional		$144.54	$239.88	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $4,073.80	Facility		$1,096.48	$1,949.84	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $331.13	Professional		$117.49	$194.98	$331.13