Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,311.31 / $10,715.19	Facility		$331.13	$3,311.31	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $1,380.38	Professional		$194.98	$263.03	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $407.38	Professional		$190.55	$239.88	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $239.88	Facility		$199.53	$208.93	$239.88
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $426.58	Professional		$177.83	$275.42	$426.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $21,379.62	Facility		$1,071.52	$1,698.24	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $426.58	Professional		$181.97	$275.42	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,570.40	Facility		$100.00	$100.00	$2,570.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $436.52	Professional		$190.55	$234.42	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $398.11	Professional		$186.21	$245.47	$398.11