Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,467.37 / $10,232.93	Facility		$316.23	$3,467.37	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $1,096.48	Professional		$204.17	$288.40	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $478.63	Professional		$169.82	$281.84	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $229.09	Facility		$190.55	$204.17	$229.09
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 $194.98 / $295.12 / $478.63	Professional		$194.98	$295.12	$478.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $21,379.62	Facility		$1,202.26	$1,202.26	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $512.86	Professional		$194.98	$295.12	$512.86
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 / $2,570.40	Facility		$100.00	$100.00	$2,570.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $512.86	Professional		$186.21	$275.42	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,244.36	Facility		$2,238.72	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $436.52	Professional		$186.21	$269.15	$436.52