Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,511.89 / $8,912.51	Facility		$138.04	$2,511.89	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $478.63	Professional		$79.43	$165.96	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $120.23	Professional		$43.65	$81.28	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,511.89 / $7,943.28	Facility		$954.99	$2,511.89	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $323.59	Professional		$83.18	$165.96	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $891.25	Facility		$77.62	$87.10	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $363.08 / $1,318.26	Facility		$112.20	$363.08	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $331.13	Professional		$89.13	$165.96	$331.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $851.14 / $5,248.07	Facility		$141.25	$851.14	$5,248.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $309.03	Professional		$89.13	$165.96	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,041.74	Facility		$100.00	$100.00	$2,041.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $323.59	Professional		$74.13	$169.82	$323.59
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 $79.43 / $141.25 / $257.04	Professional		$79.43	$141.25	$257.04