Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,168.69 / $10,715.19	Facility		$512.86	$4,168.69	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,000.00	Professional		$309.03	$489.78	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $660.69	Professional		$309.03	$363.08	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,019.95 / $7,943.28	Facility		$954.99	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $630.96	Professional		$269.15	$380.19	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $338.84 / $1,737.80	Facility		$302.00	$338.84	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $380.19	Professional		$331.13	$331.13	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $537.03 / $2,137.96	Facility		$331.13	$537.03	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $891.25	Professional		$316.23	$478.63	$891.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $575.44 / $2,818.38	Facility		$537.03	$575.44	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $812.83	Professional		$309.03	$467.74	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,388.44	Facility		$100.00	$100.00	$3,388.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $812.83	Professional		$323.59	$524.81	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,168.69 / $7,244.36	Facility		$794.33	$4,168.69	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $724.44	Professional		$281.84	$426.58	$724.44