Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,511.89 / $10,715.19	Facility		$489.78	$2,511.89	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $316.23 / $1,202.26	Professional		$134.90	$316.23	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $501.19	Professional		$125.89	$138.04	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $512.86 / $1,000.00	Professional		$128.82	$512.86	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
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 $151.36 / $316.23 / $1,023.29	Professional		$151.36	$316.23	$1,023.29
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 $154.88 / $331.13 / $1,023.29	Professional		$154.88	$331.13	$1,023.29
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 $138.04 / $389.05 / $1,071.52	Professional		$138.04	$389.05	$1,071.52
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 $147.91 / $489.78 / $1,148.15	Professional		$147.91	$489.78	$1,148.15