Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $4,168.69 / $10,715.19	Facility		$398.11	$4,168.69	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $645.65 / $2,344.23	Professional		$208.93	$645.65	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
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 $234.42 / $933.25 / $1,819.70	Professional		$234.42	$933.25	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $234.42	Facility		$199.53	$208.93	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,096.48 / $21,379.62	Facility		$173.78	$1,096.48	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $1,905.46	Professional		$204.17	$426.58	$1,905.46
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 $204.17 / $426.58 / $1,949.84	Professional		$204.17	$426.58	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
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 $190.55 / $1,202.26 / $2,238.72	Professional		$190.55	$1,202.26	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $912.01 / $2,041.74	Professional		$213.80	$912.01	$2,041.74