Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $8,912.51 / $11,748.98	Facility		$1,047.13	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,570.40	Professional		$891.25	$1,096.48	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $20,892.96	Facility		$2,511.89	$9,549.93	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,819.70	Professional		$870.96	$1,071.52	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $954.99 / $1,071.52	Facility		$891.25	$954.99	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $21,379.62	Facility		$794.33	$1,202.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,258.93 / $1,949.84	Professional		$457.09	$1,258.93	$1,949.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,258.93 / $1,949.84	Professional		$457.09	$1,258.93	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,949.84	Professional		$870.96	$1,023.29	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,819.70	Professional		$851.14	$1,096.48	$1,819.70