Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,238.72 / $10,715.19	Facility		$245.47	$2,238.72	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $575.44	Professional		$144.54	$257.04	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $7,943.28	Facility		$954.99	$2,691.53	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $316.23	Professional		$125.89	$186.21	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $154.88 / $229.09	Facility		$134.90	$154.88	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $169.82	Professional		$151.36	$151.36	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $575.44	Facility		$123.03	$245.47	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $478.63	Professional		$151.36	$257.04	$478.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $575.44	Facility		$245.47	$371.54	$575.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $457.09	Professional		$151.36	$257.04	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
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 $134.90 / $251.19 / $380.19	Professional		$134.90	$251.19	$380.19
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 $131.83 / $218.78 / $371.54	Professional		$131.83	$218.78	$371.54