Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,570.40 / $10,715.19	Facility		$346.74	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $660.69	Professional		$213.80	$323.59	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,398.83 / $7,943.28	Facility		$954.99	$2,398.83	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $501.19	Professional		$223.87	$316.23	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $239.88 / $831.76	Facility		$208.93	$239.88	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $263.03	Professional		$234.42	$234.42	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $1,318.26	Facility		$380.19	$457.09	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $660.69	Professional		$234.42	$363.08	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $1,348.96	Facility		$380.19	$457.09	$1,348.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $602.56	Professional		$234.42	$354.81	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,905.46	Facility		$100.00	$100.00	$1,905.46
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $630.96	Professional		$208.93	$331.13	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $4,897.79	Facility		$676.08	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $524.81	Professional		$208.93	$323.59	$524.81