Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,778.28 / $7,079.46	Facility		$436.52	$1,778.28	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $1,047.13	Professional		$190.55	$407.38	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $263.03	Professional		$128.82	$186.21	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,630.27 / $7,244.36	Facility		$954.99	$2,630.27	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $575.44	Professional		$194.98	$269.15	$575.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $309.03	Professional		$204.17	$269.15	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $218.78 / $257.04	Facility		$181.97	$218.78	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $630.96	Professional		$426.58	$549.54	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $524.81 / $1,659.59	Facility		$263.03	$524.81	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	22	$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $851.14	Professional		$204.17	$389.05	$851.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,202.26 / $2,398.83	Facility		$489.78	$1,202.26	$2,398.83
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	22	$398.11	$398.11	$398.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $776.25	Professional		$199.53	$346.74	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $562.34 / $2,344.23	Facility		$100.00	$562.34	$2,344.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $436.52 / $851.14	Professional		$177.83	$436.52	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $5,248.07	Facility		$676.08	$2,398.83	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $691.83	Professional		$177.83	$331.13	$691.83