Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,630.78 / $10,715.19	Facility		$630.96	$3,630.78	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $1,548.82	Professional		$389.05	$537.03	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $776.25	Professional		$389.05	$416.87	$776.25
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 $269.15 / $354.81 / $602.56	Professional		$269.15	$354.81	$602.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $478.63	Facility		$407.38	$407.38	$478.63
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 $398.11 / $588.84 / $851.14	Professional		$398.11	$588.84	$851.14
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 $371.54 / $562.34 / $851.14	Professional		$371.54	$562.34	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
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 $407.38 / $467.74 / $891.25	Professional		$407.38	$467.74	$891.25
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 $323.59 / $489.78 / $776.25	Professional		$323.59	$489.78	$776.25