Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,715.35 / $10,715.19	Facility		$199.53	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $870.96	Professional		$100.00	$138.04	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,019.95 / $7,943.28	Facility		$1,071.52	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $234.42	Professional		$107.15	$131.83	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $120.23 / $131.83	Facility		$109.65	$120.23	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $21,379.62	Facility		$97.72	$134.90	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $302.00	Professional		$117.49	$165.96	$302.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $2,344.23 / $4,168.69	Facility		$0.68	$2,344.23	$4,168.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $323.59	Professional		$117.49	$173.78	$323.59
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 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $239.88	Professional		$109.65	$128.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $7,413.10	Facility		$2,454.71	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $223.87	Professional		$100.00	$131.83	$223.87