Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,467.37 / $10,471.29	Facility		$354.81	$3,467.37	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $724.44 / $2,238.72	Professional		$199.53	$724.44	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $204.17	Professional		$93.33	$165.96	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,388.44 / $15,135.61	Facility		$954.99	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $851.14 / $2,238.72	Professional		$234.42	$851.14	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $2,137.96	Facility		$186.21	$208.93	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $234.42	Professional		$208.93	$208.93	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $524.81 / $2,570.40	Facility		$34.67	$524.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $812.83 / $2,290.87	Professional		$218.78	$812.83	$2,290.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $3,467.37	Facility		$338.84	$562.34	$3,467.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $794.33 / $2,238.72	Professional		$213.80	$794.33	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $741.31 / $2,041.74	Professional		$181.97	$741.31	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $8,511.38	Facility		$933.25	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $758.58 / $1,995.26	Professional		$190.55	$758.58	$1,995.26