Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,265.80 / $10,715.19	Facility		$851.14	$4,265.80	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,995.26	Professional		$467.74	$616.60	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $562.34	Professional		$234.42	$457.09	$562.34
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 $416.87 / $549.54 / $891.25	Professional		$416.87	$549.54	$891.25
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Facility		$501.19	$501.19	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $21,379.62	Facility		$562.34	$812.83	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,000.00	Professional		$489.78	$691.83	$1,000.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $912.01 / $21,379.62	Facility		$436.52	$912.01	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,047.13	Professional		$457.09	$691.83	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
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 $489.78 / $575.44 / $1,096.48	Professional		$489.78	$575.44	$1,096.48
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 $371.54 / $575.44 / $912.01	Professional		$371.54	$575.44	$912.01