Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,951.21 / $8,912.51	Facility		$537.03	$2,951.21	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,202.26	Professional		$309.03	$512.86	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $1,023.29	Professional		$181.97	$309.03	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $676.08	Professional		$316.23	$426.58	$676.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $363.08	Facility		$309.03	$309.03	$363.08
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 / $512.86 / $870.96	Professional		$331.13	$512.86	$870.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $21,379.62	Facility		$3,235.94	$3,235.94	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $870.96	Professional		$316.23	$512.86	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
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 $309.03 / $549.54 / $831.76	Professional		$309.03	$549.54	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Facility		$1,698.24	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $794.33	Professional		$269.15	$446.68	$794.33