Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,467.37 / $8,912.51	Facility		$524.81	$3,467.37	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,258.93	Professional		$323.59	$562.34	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
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 $269.15 / $380.19 / $630.96	Professional		$269.15	$380.19	$630.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $380.19	Facility		$323.59	$323.59	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $660.69 / $21,379.62	Facility		$389.05	$660.69	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $933.25	Professional		$346.74	$549.54	$933.25
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 $331.13 / $524.81 / $912.01	Professional		$331.13	$524.81	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
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 $323.59 / $575.44 / $870.96	Professional		$323.59	$575.44	$870.96
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 $281.84 / $478.63 / $831.76	Professional		$281.84	$478.63	$831.76