Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $2,818.38 / $10,715.19	Facility		$141.25	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $616.60	Professional		$70.79	$120.23	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $85.11	Professional		$69.18	$72.44	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $20,417.38	Facility		$2,511.89	$9,549.93	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $173.78	Professional		$69.18	$95.50	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $97.72	Facility		$70.79	$81.28	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $112.20	Professional		$85.11	$95.50	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $93.33 / $21,379.62	Facility		$63.10	$93.33	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $154.88	Professional		$67.61	$100.00	$154.88
Medical Mutual of Ohio 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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $162.18	Professional		$67.61	$102.33	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$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 $67.61 / $81.28 / $151.36	Professional		$67.61	$81.28	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $158.49	Professional		$64.57	$91.20	$158.49