Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $5,128.61 / $11,481.54	Facility		$398.11	$5,128.61	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $1,096.48	Professional		$257.04	$501.19	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $467.74	Professional		$208.93	$234.42	$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 $295.12 / $407.38 / $691.83	Professional		$295.12	$407.38	$691.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $295.12	Facility		$251.19	$251.19	$295.12
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $1,047.13	Professional		$295.12	$588.84	$1,047.13
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 $269.15 / $512.86 / $1,047.13	Professional		$269.15	$512.86	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $912.01	Professional		$239.88	$371.54	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $7,413.10	Facility		$2,454.71	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,096.48	Professional		$426.58	$676.08	$1,096.48