Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $4,168.69 / $10,715.19	Facility		$380.19	$4,168.69	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $812.83	Professional		$234.42	$371.54	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
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 $162.18 / $208.93 / $380.19	Professional		$162.18	$208.93	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $281.84	Facility		$239.88	$239.88	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $21,379.62	Facility		$295.12	$416.87	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $645.65	Professional		$263.03	$416.87	$645.65
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 $251.19 / $398.11 / $645.65	Professional		$251.19	$398.11	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
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 / $380.19 / $630.96	Professional		$239.88	$380.19	$630.96
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 $213.80 / $346.74 / $602.56	Professional		$213.80	$346.74	$602.56