Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,238.72 / $9,549.93	Facility		$91.20	$2,238.72	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $213.80	Professional		$51.29	$95.50	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $85.11 / $97.72	Professional		$25.12	$85.11	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,949.84 / $3,981.07	Facility		$660.69	$1,949.84	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $144.54	Professional		$44.67	$85.11	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $79.43	Facility		$48.98	$56.23	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $61.66	Professional		$54.95	$54.95	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $575.44	Facility		$34.67	$89.13	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $223.87	Professional		$56.23	$104.71	$223.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $363.08 / $1,047.13	Facility		$89.13	$363.08	$1,047.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $239.88	Professional		$56.23	$104.71	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $44.67	Professional		$32.36	$33.11	$44.67
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $870.96	Facility		$100.00	$100.00	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $169.82	Professional		$47.86	$93.33	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,698.24 / $3,981.07	Facility		$489.78	$1,698.24	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $154.88	Professional		$48.98	$87.10	$154.88