Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,089.30 / $10,232.93	Facility		$204.17	$2,089.30	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $812.83	Professional		$117.49	$213.80	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $218.78	Professional		$109.65	$162.18	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $346.74	Professional		$131.83	$208.93	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $158.49	Facility		$112.20	$134.90	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $426.58	Professional		$213.80	$245.47	$426.58
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 $134.90 / $223.87 / $389.05	Professional		$134.90	$223.87	$389.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $831.76 / $1,698.24	Facility		$549.54	$831.76	$1,698.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $389.05	Professional		$138.04	$234.42	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $478.63	Facility		$100.00	$100.00	$478.63
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $331.13	Professional		$107.15	$194.98	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $933.25 / $2,951.21	Facility		$316.23	$933.25	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $323.59	Professional		$120.23	$190.55	$323.59