Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,079.46 / $12,022.64	Facility		$1,479.11	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $3,235.94	Professional		$891.25	$1,023.29	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $22,908.68	Facility		$3,235.94	$6,025.60	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,737.80	Professional		$851.14	$1,096.48	$1,737.80
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,122.02	Facility		$954.99	$954.99	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $21,379.62	Facility		$1,096.48	$1,548.82	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,905.46	Professional		$933.25	$1,318.26	$1,905.46
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 $870.96 / $1,318.26 / $1,995.26	Professional		$870.96	$1,318.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $2,041.74	Professional		$912.01	$1,071.52	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $11,220.18	Facility		$3,890.45	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,737.80	Professional		$707.95	$1,071.52	$1,737.80