Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,754.40 / $10,964.78	Facility		$1,318.26	$5,754.40	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $4,168.69	Professional		$741.31	$891.25	$4,168.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,073.80 / $16,982.44	Facility		$2,238.72	$4,073.80	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,479.11	Professional		$645.65	$812.83	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $794.33 / $891.25	Facility		$741.31	$794.33	$891.25
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 / $1,000.00 / $1,548.82	Professional		$194.98	$1,000.00	$1,548.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $21,379.62	Facility		$7,413.10	$7,413.10	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,000.00 / $1,548.82	Professional		$194.98	$1,000.00	$1,548.82
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 $707.95 / $831.76 / $1,548.82	Professional		$707.95	$831.76	$1,548.82
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 $676.08 / $891.25 / $1,380.38	Professional		$676.08	$891.25	$1,380.38