Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $7,079.46 / $11,748.98	Facility		$478.63	$7,079.46	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $6,309.57	Professional		$288.40	$354.81	$6,309.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,365.16 / $15,135.61	Facility		$1,949.84	$4,365.16	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $660.69	Professional		$288.40	$398.11	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $309.03 / $354.81	Facility		$295.12	$309.03	$354.81
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 $295.12 / $416.87 / $630.96	Professional		$295.12	$416.87	$630.96
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 $309.03 / $426.58 / $630.96	Professional		$309.03	$426.58	$630.96
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 / $8,709.64	Facility		$100.00	$100.00	$8,709.64
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $602.56	Professional		$269.15	$316.23	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $588.84	Professional		$269.15	$354.81	$588.84