Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,454.71 / $10,232.93	Facility		$223.87	$2,454.71	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $616.60	Professional		$134.90	$218.78	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $154.88	Professional		$114.82	$125.89	$154.88
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 $114.82 / $169.82 / $295.12	Professional		$114.82	$169.82	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $154.88 / $173.78	Facility		$144.54	$154.88	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $21,379.62	Facility		$128.82	$245.47	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $446.68	Professional		$147.91	$229.09	$446.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $1,148.15	Facility		$478.63	$630.96	$1,148.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $380.19	Professional		$144.54	$223.87	$380.19
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 / $371.54	Facility		$100.00	$100.00	$371.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $426.58	Professional		$131.83	$223.87	$426.58
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 $131.83 / $199.53 / $363.08	Professional		$131.83	$199.53	$363.08