Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,786.30 / $10,715.19	Facility		$707.95	$4,786.30	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,288.25	Professional		$489.78	$691.83	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $776.25	Professional		$467.74	$489.78	$776.25
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 $446.68 / $602.56 / $1,047.13	Professional		$446.68	$602.56	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $588.84	Facility		$489.78	$489.78	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $21,379.62	Facility		$549.54	$794.33	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,148.15	Professional		$524.81	$758.58	$1,148.15
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 $512.86 / $758.58 / $1,174.90	Professional		$512.86	$758.58	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
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 $489.78 / $741.31 / $1,122.02	Professional		$489.78	$741.31	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,466.84 / $7,413.10	Facility		$2,238.72	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,071.52	Professional		$416.87	$660.69	$1,071.52