Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,456.54 / $12,022.64	Facility		$1,202.26	$6,456.54	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,513.56 / $3,311.31	Professional		$676.08	$1,513.56	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $16,982.44	Facility		$2,398.83	$4,570.88	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,412.54 / $4,265.80	Professional		$616.60	$1,412.54	$4,265.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $691.83 / $794.33	Facility		$660.69	$691.83	$794.33
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 $602.56 / $1,258.93 / $2,754.23	Professional		$602.56	$1,258.93	$2,754.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $21,379.62	Facility		$5,370.32	$6,760.83	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,258.93 / $2,884.03	Professional		$602.56	$1,258.93	$2,884.03
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 / $6,606.93	Facility		$100.00	$100.00	$6,606.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $2,884.03	Professional		$537.03	$630.96	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,606.93 / $10,964.78	Facility		$3,801.89	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,380.38 / $3,090.30	Professional		$660.69	$1,380.38	$3,090.30