Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,570.40 / $10,715.19	Facility		$173.78	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $363.08	Professional		$85.11	$194.98	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,511.89 / $7,244.36	Facility		$954.99	$2,511.89	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $302.00	Professional		$97.72	$173.78	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $794.33	Facility		$85.11	$93.33	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $107.15	Professional		$95.50	$95.50	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $457.09 / $1,318.26	Facility		$151.36	$457.09	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $371.54	Professional		$97.72	$194.98	$371.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $457.09 / $954.99	Facility		$151.36	$457.09	$954.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $363.08	Professional		$95.50	$199.53	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,479.11	Facility		$100.00	$100.00	$1,479.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $436.52	Professional		$87.10	$218.78	$436.52
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 $85.11 / $158.49 / $288.40	Professional		$85.11	$158.49	$288.40