Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,888.44 / $10,715.19	Facility		$954.99	$5,888.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $707.95 / $2,238.72	Professional		$331.13	$707.95	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $812.83	Professional		$275.42	$363.08	$812.83
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 $331.13 / $954.99 / $1,905.46	Professional		$331.13	$954.99	$1,905.46
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $436.52	Facility		$295.12	$407.38	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,187.76	Professional		$1,000.00	$1,288.25	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $851.14 / $21,379.62	Facility		$275.42	$851.14	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $1,659.59	Professional		$354.81	$676.08	$1,659.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $8,709.64	Facility		$2,691.53	$5,011.87	$8,709.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $676.08 / $1,698.24	Professional		$338.84	$676.08	$1,698.24
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 / $3,890.45	Facility		$100.00	$100.00	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $933.25 / $1,778.28	Professional		$331.13	$933.25	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $954.99 / $1,778.28	Professional		$354.81	$954.99	$1,778.28