Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,454.71 / $9,549.93	Facility		$363.08	$2,454.71	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $1,023.29	Professional		$295.12	$426.58	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $512.86	Professional		$229.09	$309.03	$512.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $446.68	Professional		$398.11	$446.68	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $354.81	Facility		$302.00	$302.00	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $21,379.62	Facility		$323.59	$489.78	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $630.96	Professional		$302.00	$426.58	$630.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,630.78 / $21,379.62	Facility		$489.78	$3,630.78	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $630.96	Professional		$288.40	$426.58	$630.96
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 $323.59 / $407.38 / $741.31	Professional		$323.59	$407.38	$741.31
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 $234.42 / $354.81 / $562.34	Professional		$234.42	$354.81	$562.34