Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $912.01 / $8,912.51	Facility		$66.07	$912.01	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $112.20 / $323.59	Professional		$38.90	$112.20	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $63.10	Professional		$33.11	$34.67	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $218.78	Professional		$58.88	$128.82	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $74.13 / $21,379.62	Facility		$30.90	$74.13	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $112.20 / $218.78	Professional		$39.81	$112.20	$218.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $21,379.62	Facility		$34.67	$60.26	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $104.71 / $213.80	Professional		$38.02	$104.71	$213.80
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 / $263.03	Facility		$100.00	$100.00	$263.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $114.82 / $251.19	Professional		$33.11	$114.82	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $109.65 / $199.53	Professional		$38.90	$109.65	$199.53