Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,762.47 / $12,302.69	Facility		$1,819.70	$7,762.47	$12,302.69
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,818.38 / $3,630.78 / $3,630.78	Facility	52	$2,818.38	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,715.35	Professional		$954.99	$1,380.38	$3,715.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,148.15	Professional		$1,047.13	$1,071.52	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $16,982.44	Facility		$2,398.83	$4,570.88	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,862.09	Professional		$831.76	$1,071.52	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,148.15	Facility		$954.99	$1,023.29	$1,148.15
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 $331.13 / $1,288.25 / $1,995.26	Professional		$331.13	$1,288.25	$1,995.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,548.13 / $3,981.07	Facility		$1,071.52	$3,548.13	$3,981.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,288.25 / $2,041.74	Professional		$331.13	$1,288.25	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,041.74	Professional		$933.25	$1,096.48	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $10,964.78	Facility		$3,890.45	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,905.46	Professional		$831.76	$1,096.48	$1,905.46