Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,019.95 / $9,120.11	Facility		$707.95	$3,019.95	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $2,290.87	Professional		$213.80	$501.19	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $239.88	Professional		$218.78	$239.88	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $933.25 / $1,819.70	Professional		$251.19	$933.25	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $245.47	Facility		$204.17	$218.78	$245.47
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 $239.88 / $457.09 / $1,819.70	Professional		$239.88	$457.09	$1,819.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,949.84 / $6,025.60	Facility		$741.31	$1,949.84	$6,025.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $1,778.28	Professional		$239.88	$457.09	$1,778.28
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 / $4,570.88	Facility		$100.00	$100.00	$4,570.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,174.90 / $1,995.26	Professional		$204.17	$1,174.90	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $724.44 / $1,698.24	Professional		$218.78	$724.44	$1,698.24