Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $1,445.44 / $9,549.93	Facility		$43.65	$1,445.44	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $123.03	Professional		$28.18	$44.67	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $69.18	Professional		$45.71	$45.71	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,511.89	Facility		$1,905.46	$2,137.96	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $70.79	Professional		$30.20	$40.74	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $28.84 / $32.36	Facility		$27.54	$28.84	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $44.67 / $21,379.62	Facility		$24.55	$44.67	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $75.86	Professional		$32.36	$45.71	$75.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $21,379.62	Facility		$288.40	$288.40	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $77.62	Professional		$32.36	$45.71	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $33.11	Professional		$29.51	$32.36	$33.11
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 $26.30 / $41.69 / $75.86	Professional		$26.30	$41.69	$75.86
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 $28.18 / $39.81 / $66.07	Professional		$28.18	$39.81	$66.07