Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,238.72 / $9,549.93	Facility		$295.12	$2,238.72	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $363.08 / $1,202.26	Professional		$151.36	$363.08	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $630.96	Professional		$162.18	$275.42	$630.96
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 $147.91 / $457.09 / $954.99	Professional		$147.91	$457.09	$954.99
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $281.84 / $21,379.62	Facility		$141.25	$281.84	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $478.63 / $1,148.15	Professional		$169.82	$478.63	$1,148.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $281.84 / $21,379.62	Facility		$34.67	$281.84	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $436.52 / $1,071.52	Professional		$169.82	$436.52	$1,071.52
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 / $1,949.84	Facility		$100.00	$100.00	$1,949.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $436.52 / $1,479.11	Professional		$158.49	$436.52	$1,479.11
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 $169.82 / $524.81 / $1,096.48	Professional		$169.82	$524.81	$1,096.48