Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,511.89 / $10,715.19	Facility		$331.13	$2,511.89	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $407.38 / $1,174.90	Professional		$97.72	$407.38	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $660.69 / $707.95	Professional		$81.28	$660.69	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $7,943.28	Facility		$954.99	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $602.56	Professional		$128.82	$251.19	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $104.71 / $794.33	Facility		$93.33	$104.71	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $524.81 / $1,288.25	Facility		$34.67	$524.81	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $371.54 / $1,148.15	Professional		$107.15	$371.54	$1,148.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $562.34 / $1,288.25	Facility		$169.82	$562.34	$1,288.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $323.59 / $1,096.48	Professional		$104.71	$323.59	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
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 $93.33 / $575.44 / $1,348.96	Professional		$93.33	$575.44	$1,348.96
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 $95.50 / $389.05 / $912.01	Professional		$95.50	$389.05	$912.01