Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $8,317.64 / $12,302.69	Facility		$158.49	$8,317.64	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $1,621.81 / $3,467.37	Professional		$81.28	$1,621.81	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Professional		$83.18	$83.18	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $154.88 / $4,570.88	Professional		$61.66	$154.88	$4,570.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $2,511.89	Facility		$83.18	$91.20	$2,511.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $104.71	Professional		$91.20	$91.20	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $147.91 / $2,884.03	Facility		$34.67	$147.91	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $1,445.44 / $3,801.89	Professional		$85.11	$1,445.44	$3,801.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $2,884.03	Facility		$147.91	$147.91	$2,884.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $1,548.82 / $3,630.78	Professional		$85.11	$1,548.82	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $53.70	Professional		$32.36	$33.11	$53.70
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $5,370.32	Facility		$100.00	$100.00	$5,370.32
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $1,737.80 / $4,073.80	Professional		$77.62	$1,737.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,606.93 / $10,964.78	Facility		$2,344.23	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $1,071.52 / $3,162.28	Professional		$70.79	$1,071.52	$3,162.28