Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,089.30 / $9,549.93	Facility		$162.18	$2,089.30	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $380.19	Professional		$95.50	$151.36	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
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 $87.10 / $114.82 / $204.17	Professional		$87.10	$114.82	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $109.65 / $123.03	Facility		$102.33	$109.65	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $117.49 / $21,379.62	Facility		$91.20	$117.49	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $245.47	Professional		$107.15	$154.88	$245.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $21,379.62	Facility		$1,174.90	$1,174.90	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $257.04	Professional		$109.65	$158.49	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $52.48	Professional		$32.36	$33.11	$52.48
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,122.02	Facility		$100.00	$100.00	$1,122.02
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $239.88	Professional		$104.71	$154.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $218.78	Professional		$89.13	$123.03	$218.78