Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,041.74 / $9,549.93	Facility		$151.36	$2,041.74	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $426.58	Professional		$85.11	$154.88	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,187.76 / $7,943.28	Facility		$954.99	$2,187.76	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $245.47	Professional		$74.13	$107.15	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $794.33	Facility		$83.18	$91.20	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $102.33	Professional		$91.20	$91.20	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $457.09 / $1,318.26	Facility		$147.91	$457.09	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $398.11	Professional		$93.33	$173.78	$398.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $501.19 / $2,344.23	Facility		$147.91	$501.19	$2,344.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $380.19	Professional		$93.33	$173.78	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
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 $83.18 / $199.53 / $416.87	Professional		$83.18	$199.53	$416.87
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 $79.43 / $125.89 / $239.88	Professional		$79.43	$125.89	$239.88