Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,570.40 / $9,332.54	Facility		$239.88	$2,570.40	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $575.44	Professional		$120.23	$239.88	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $407.38	Professional		$104.71	$144.54	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,398.83 / $7,943.28	Facility		$954.99	$2,398.83	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $269.15	Professional		$87.10	$134.90	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $794.33	Facility		$114.82	$128.82	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $144.54	Professional		$125.89	$125.89	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $380.19 / $1,318.26	Facility		$125.89	$380.19	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $436.52	Professional		$123.03	$223.87	$436.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $457.09 / $2,344.23	Facility		$204.17	$457.09	$2,344.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $416.87	Professional		$123.03	$223.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
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 $120.23 / $269.15 / $512.86	Professional		$120.23	$269.15	$512.86
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 $104.71 / $181.97 / $323.59	Professional		$104.71	$181.97	$323.59