Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,168.69 / $10,715.19	Facility		$616.60	$4,168.69	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,288.25	Professional		$426.58	$645.65	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $812.83	Professional		$346.74	$416.87	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $707.95	Professional		$316.23	$416.87	$707.95
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $478.63 / $524.81	Professional		$467.74	$478.63	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $501.19	Facility		$426.58	$426.58	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $724.44 / $21,379.62	Facility		$588.84	$724.44	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,000.00	Professional		$457.09	$691.83	$1,000.00
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 $407.38 / $660.69 / $1,023.29	Professional		$407.38	$660.69	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
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 $426.58 / $630.96 / $977.24	Professional		$426.58	$630.96	$977.24
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 $380.19 / $588.84 / $954.99	Professional		$380.19	$588.84	$954.99