Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,187.76 / $6,309.57	Facility		$281.84	$2,187.76	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $758.58	Professional		$85.11	$177.83	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $331.13	Professional		$77.62	$93.33	$331.13
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 $85.11 / $251.19 / $575.44	Professional		$85.11	$251.19	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $109.65	Facility		$75.86	$79.43	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $512.86	Professional		$398.11	$446.68	$512.86
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 $89.13 / $186.21 / $575.44	Professional		$89.13	$186.21	$575.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $5,370.32	Facility		$1,412.54	$2,511.89	$5,370.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $588.84	Professional		$89.13	$177.83	$588.84
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 / $1,949.84	Facility		$100.00	$100.00	$1,949.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $218.78 / $676.08	Professional		$77.62	$218.78	$676.08
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 $89.13 / $316.23 / $645.65	Professional		$89.13	$316.23	$645.65