Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,413.10 / $12,022.64	Facility		$1,318.26	$7,413.10	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $3,548.13	Professional		$616.60	$933.25	$3,548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $758.58	Professional		$676.08	$707.95	$758.58
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 $575.44 / $758.58 / $1,258.93	Professional		$575.44	$758.58	$1,258.93
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $21,379.62	Facility		$616.60	$616.60	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,412.54	Professional		$741.31	$912.01	$1,412.54
Medical Mutual of Ohio 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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,445.44	Professional		$741.31	$954.99	$1,445.44
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 / $6,760.83	Facility		$100.00	$100.00	$6,760.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,659.59	Professional		$707.95	$851.14	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $13,803.84	Facility		$4,073.80	$9,332.54	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,445.44	Professional		$660.69	$891.25	$1,445.44