Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,454.71 / $10,232.93	Facility		$354.81	$2,454.71	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $776.25	Professional		$281.84	$346.74	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,089.30 / $3,981.07	Facility		$776.25	$2,089.30	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $512.86	Professional		$234.42	$316.23	$512.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $346.74	Facility		$295.12	$295.12	$346.74
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 $288.40 / $407.38 / $602.56	Professional		$288.40	$407.38	$602.56
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 $281.84 / $416.87 / $602.56	Professional		$281.84	$416.87	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $302.00	Facility		$100.00	$100.00	$302.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $724.44	Professional		$309.03	$389.05	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $537.03	Professional		$223.87	$338.84	$537.03