Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,290.87 / $8,912.51	Facility		$588.84	$2,290.87	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,148.15	Professional		$354.81	$575.44	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $724.44	Professional		$338.84	$380.19	$724.44
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 $229.09 / $302.00 / $602.56	Professional		$229.09	$302.00	$602.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $426.58 / $660.69	Professional		$416.87	$426.58	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $446.68	Facility		$371.54	$371.54	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $616.60 / $21,379.62	Facility		$436.52	$616.60	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $954.99	Professional		$398.11	$602.56	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $21,379.62	Facility		$1,023.29	$2,570.40	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $933.25	Professional		$363.08	$575.44	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
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 $371.54 / $575.44 / $870.96	Professional		$371.54	$575.44	$870.96
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 $316.23 / $512.86 / $891.25	Professional		$316.23	$512.86	$891.25