Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,778.28 / $11,481.54	Facility		$77.62	$1,778.28	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $190.55	Professional		$41.69	$72.44	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $63.10	Professional		$25.70	$41.69	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $109.65	Professional		$45.71	$60.26	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $53.70 / $57.54	Facility		$39.81	$53.70	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $100.00	Professional		$48.98	$64.57	$100.00
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 $43.65 / $64.57 / $93.33	Professional		$43.65	$64.57	$93.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $446.68 / $21,379.62	Facility		$199.53	$446.68	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $95.50	Professional		$45.71	$64.57	$95.50
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $100.00	Professional		$44.67	$66.07	$100.00
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 $45.71 / $60.26 / $89.13	Professional		$45.71	$60.26	$89.13