Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $2,238.72 / $10,232.93	Facility		$147.91	$2,238.72	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $144.54 / $524.81	Professional		$61.66	$144.54	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
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 $58.88 / $147.91 / $288.40	Professional		$58.88	$147.91	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $67.61 / $75.86	Facility		$63.10	$67.61	$75.86
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 $74.13 / $169.82 / $295.12	Professional		$74.13	$169.82	$295.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $21,379.62	Facility		$2,041.74	$2,041.74	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $309.03	Professional		$75.86	$169.82	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $39.81	Professional		$32.36	$33.11	$39.81
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,041.74	Facility		$100.00	$100.00	$2,041.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $165.96 / $309.03	Professional		$57.54	$165.96	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,073.80	Facility		$1,096.48	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $138.04 / $263.03	Professional		$61.66	$138.04	$263.03