Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,344.23 / $10,715.19	Facility		$112.20	$2,344.23	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $144.54 / $323.59	Professional		$61.66	$144.54	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
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 $95.50 / $147.91 / $245.47	Professional		$95.50	$147.91	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $154.88	Facility		$61.66	$67.61	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Professional		$67.61	$67.61	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $138.04 / $562.34	Facility		$52.48	$138.04	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $295.12	Professional		$70.79	$151.36	$295.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $575.44	Facility		$109.65	$177.83	$575.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $288.40	Professional		$69.18	$151.36	$288.40
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 / $1,479.11	Facility		$100.00	$100.00	$1,479.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $165.96 / $338.84	Professional		$63.10	$165.96	$338.84
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 $60.26 / $117.49 / $218.78	Professional		$60.26	$117.49	$218.78