Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,818.38 / $9,549.93	Facility		$389.05	$2,818.38	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $1,479.11	Professional		$229.09	$549.54	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $812.83	Professional		$218.78	$218.78	$812.83
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 $131.83 / $275.42 / $630.96	Professional		$131.83	$275.42	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $794.33	Facility		$218.78	$245.47	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $275.42	Professional		$245.47	$245.47	$275.42
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 $239.88 / $602.56 / $1,445.44	Professional		$239.88	$602.56	$1,445.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $602.56 / $2,238.72	Facility		$398.11	$602.56	$2,238.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $512.86 / $1,348.96	Professional		$229.09	$512.86	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
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 $213.80 / $707.95 / $1,659.59	Professional		$213.80	$707.95	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,290.87 / $4,897.79	Facility		$676.08	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $549.54 / $1,122.02	Professional		$223.87	$549.54	$1,122.02