Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,951.21 / $8,912.51	Facility		$229.09	$2,951.21	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $630.96	Professional		$128.82	$257.04	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $131.83	Professional		$117.49	$125.89	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $7,943.28	Facility		$1,000.00	$2,754.23	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $446.68	Professional		$144.54	$269.15	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $141.25 / $169.82	Facility		$123.03	$141.25	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $354.81	Professional		$275.42	$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 $147.91 / $263.03 / $457.09	Professional		$147.91	$263.03	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1,659.59 / $3,090.30	Facility		$0.93	$1,659.59	$3,090.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $478.63	Professional		$144.54	$269.15	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,187.76	Facility		$100.00	$100.00	$2,187.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $478.63	Professional		$128.82	$281.84	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $407.38	Professional		$128.82	$234.42	$407.38