Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,995.26 / $10,715.19	Facility		$218.78	$1,995.26	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $446.68	Professional		$107.15	$204.17	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,949.84 / $3,981.07	Facility		$602.56	$1,949.84	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $269.15	Professional		$89.13	$147.91	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $117.49 / $165.96	Facility		$104.71	$117.49	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $131.83	Professional		$114.82	$114.82	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $199.53 / $575.44	Facility		$34.67	$199.53	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $380.19	Professional		$114.82	$204.17	$380.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $363.08 / $575.44	Facility		$186.21	$363.08	$575.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $363.08	Professional		$112.20	$199.53	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $309.03	Facility		$100.00	$100.00	$309.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $416.87	Professional		$107.15	$223.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $851.14 / $2,818.38	Facility		$134.90	$851.14	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $281.84	Professional		$95.50	$162.18	$281.84