Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $426.58 / $11,748.98	Facility		$52.48	$426.58	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $125.89	Professional		$38.90	$70.79	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $123.03	Professional		$36.31	$70.79	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $40.74 / $45.71	Facility		$38.02	$40.74	$45.71
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 $44.67 / $81.28 / $154.88	Professional		$44.67	$81.28	$154.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $21,379.62	Facility		$204.17	$204.17	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $165.96	Professional		$44.67	$83.18	$165.96
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 / $162.18	Facility		$100.00	$100.00	$162.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $75.86 / $144.54	Professional		$37.15	$75.86	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $114.82	Professional		$39.81	$67.61	$114.82