Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,089.30 / $10,715.19	Facility		$380.19	$2,089.30	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $645.65	Professional		$275.42	$346.74	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $398.11	Professional		$281.84	$346.74	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,981.07	Facility		$707.95	$1,995.26	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $501.19	Professional		$234.42	$316.23	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $338.84	Facility		$288.40	$288.40	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $467.74 / $21,379.62	Facility		$295.12	$467.74	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $616.60	Professional		$288.40	$407.38	$616.60
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 / $407.38 / $616.60	Professional		$281.84	$407.38	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
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 / $398.11 / $724.44	Professional		$309.03	$398.11	$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 $218.78 / $331.13 / $537.03	Professional		$218.78	$331.13	$537.03