Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,137.96 / $10,715.19	Facility		$251.19	$2,137.96	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $1,230.27	Professional		$147.91	$323.59	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $331.13	Professional		$123.03	$141.25	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $6,025.60	Facility		$2,137.96	$2,511.89	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $323.59 / $602.56	Professional		$158.49	$323.59	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $251.19 / $21,379.62	Facility		$112.20	$251.19	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $588.84	Professional		$147.91	$316.23	$588.84
Medical Mutual of Ohio 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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $602.56	Professional		$147.91	$316.23	$602.56
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $630.96	Professional		$128.82	$309.03	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $562.34	Professional		$147.91	$309.03	$562.34