Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,168.69 / $10,715.19	Facility		$645.65	$4,168.69	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $851.14 / $2,137.96	Professional		$331.13	$851.14	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $794.33	Professional		$407.38	$416.87	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $691.83	Professional		$257.04	$354.81	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $407.38 / $457.09	Facility		$380.19	$407.38	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $831.76 / $21,379.62	Facility		$275.42	$831.76	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $1,513.56	Professional		$323.59	$660.69	$1,513.56
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 $323.59 / $660.69 / $1,513.56	Professional		$323.59	$660.69	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $933.25 / $1,412.54	Professional		$371.54	$933.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $5,248.07	Facility		$1,778.28	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $660.69 / $1,380.38	Professional		$302.00	$660.69	$1,380.38