Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,238.72 / $10,715.19	Facility		$251.19	$2,238.72	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $537.03	Professional		$131.83	$239.88	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Professional		$194.98	$194.98	$275.42
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 $95.50 / $165.96 / $302.00	Professional		$95.50	$165.96	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $208.93	Facility		$131.83	$147.91	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $162.18	Professional		$144.54	$144.54	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $234.42 / $575.44	Facility		$114.82	$234.42	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $457.09	Professional		$144.54	$251.19	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $251.19 / $575.44	Facility		$229.09	$251.19	$575.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $436.52	Professional		$144.54	$251.19	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $501.19	Facility		$100.00	$100.00	$501.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $501.19	Professional		$131.83	$263.03	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $870.96 / $2,818.38	Facility		$134.90	$870.96	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $354.81	Professional		$123.03	$204.17	$354.81