Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,235.94 / $10,715.19	Facility		$724.44	$3,235.94	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $3,019.95	Professional		$436.52	$602.56	$3,019.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $933.25	Professional		$478.63	$660.69	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $954.99	Professional		$436.52	$549.54	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $467.74 / $537.03	Facility		$446.68	$467.74	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $21,379.62	Facility		$398.11	$616.60	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $616.60 / $954.99	Professional		$194.98	$616.60	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $21,379.62	Facility		$3,388.44	$3,388.44	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $616.60 / $954.99	Professional		$194.98	$616.60	$954.99
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 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $954.99	Professional		$426.58	$501.19	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $891.25	Professional		$416.87	$562.34	$891.25