Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,238.72 / $10,715.19	Facility		$123.03	$2,238.72	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $316.23 / $1,174.90	Professional		$67.61	$316.23	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $100.00	Professional		$41.69	$50.12	$100.00
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 $74.13 / $363.08 / $851.14	Professional		$74.13	$363.08	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $1,096.48	Facility		$66.07	$74.13	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $83.18	Professional		$72.44	$72.44	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $1,778.28	Facility		$34.67	$562.34	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $218.78 / $977.24	Professional		$75.86	$218.78	$977.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $602.56 / $1,778.28	Facility		$120.23	$602.56	$1,778.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $199.53 / $933.25	Professional		$75.86	$199.53	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,344.23	Facility		$100.00	$100.00	$2,344.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $426.58 / $1,000.00	Professional		$63.10	$426.58	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $5,248.07	Facility		$676.08	$2,398.83	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $309.03 / $831.76	Professional		$66.07	$309.03	$831.76