Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,715.35 / $10,715.19	Facility		$1,202.26	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,288.25 / $2,884.03	Professional		$363.08	$1,288.25	$2,884.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $616.60 / $645.65	Professional		$338.84	$616.60	$645.65
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 $371.54 / $1,230.27 / $2,570.40	Professional		$371.54	$1,230.27	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $602.56 / $21,379.62	Facility		$288.40	$602.56	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,000.00 / $2,691.53	Professional		$389.05	$1,000.00	$2,691.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $602.56 / $21,379.62	Facility		$34.67	$602.56	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $831.76 / $2,454.71	Professional		$363.08	$831.76	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,890.45	Facility		$100.00	$100.00	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,318.26 / $2,884.03	Professional		$338.84	$1,318.26	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $8,511.38	Facility		$2,398.83	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,230.27 / $2,630.27	Professional		$380.19	$1,230.27	$2,630.27