Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,951.21 / $10,715.19	Facility		$223.87	$2,951.21	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,445.44 / $2,754.23	Professional		$125.89	$1,445.44	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,380.38	Professional		$1,047.13	$1,148.15	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,148.15 / $2,238.72	Professional		$123.03	$1,148.15	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $1,698.24 / $3,311.31	Professional	50	$181.97	$1,698.24	$3,311.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
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 $128.82 / $316.23 / $2,187.76	Professional		$128.82	$316.23	$2,187.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $21,379.62	Facility		$1,096.48	$2,041.74	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $912.01 / $2,187.76	Professional		$128.82	$912.01	$2,187.76
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 / $2,511.89	Facility		$100.00	$100.00	$2,511.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $309.03 / $2,344.23	Professional		$117.49	$309.03	$2,344.23
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 $125.89 / $933.25 / $2,454.71	Professional		$125.89	$933.25	$2,454.71