Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,168.69 / $10,232.93	Facility		$630.96	$4,168.69	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,071.52	Professional		$323.59	$501.19	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $616.60	Professional		$169.82	$354.81	$616.60
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 $323.59 / $436.52 / $707.95	Professional		$323.59	$436.52	$707.95
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $645.65	Professional		$389.05	$389.05	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $398.11	Facility		$338.84	$338.84	$398.11
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 $331.13 / $467.74 / $691.83	Professional		$331.13	$467.74	$691.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $5,754.40	Facility		$1,380.38	$1,862.09	$5,754.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $691.83	Professional		$302.00	$457.09	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,513.56 / $1,995.26	Facility		$100.00	$1,513.56	$1,995.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $758.58	Professional		$338.84	$416.87	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $7,413.10	Facility		$2,238.72	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $602.56	Professional		$257.04	$389.05	$602.56