Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,951.21 / $10,715.19	Facility		$549.54	$2,951.21	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,096.48	Professional		$354.81	$501.19	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $467.74	Professional		$346.74	$354.81	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $870.96	Professional		$407.38	$537.03	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $416.87	Facility		$354.81	$354.81	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $21,379.62	Facility		$562.34	$691.83	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $891.25	Professional		$371.54	$588.84	$891.25
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 $363.08 / $562.34 / $891.25	Professional		$363.08	$562.34	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $933.25	Professional		$354.81	$537.03	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $812.83	Professional		$316.23	$501.19	$812.83