Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $10,715.19	Facility		$616.60	$2,344.23	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,479.11	Professional		$537.03	$645.65	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $7,943.28	Facility		$1,000.00	$2,187.76	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,000.00	Professional		$457.09	$630.96	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $660.69	Facility		$562.34	$562.34	$660.69
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 $562.34 / $794.33 / $1,148.15	Professional		$562.34	$794.33	$1,148.15
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 $549.54 / $776.25 / $1,148.15	Professional		$549.54	$776.25	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,995.26	Facility		$100.00	$100.00	$1,995.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,318.26	Professional		$562.34	$724.44	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $3,235.94	Facility		$478.63	$1,023.29	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,047.13	Professional		$436.52	$660.69	$1,047.13