Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $5,888.44 / $10,964.78	Facility		$616.60	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $2,041.74	Professional		$338.84	$446.68	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $389.05	Professional		$281.84	$346.74	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,897.79 / $21,877.62	Facility		$2,238.72	$4,897.79	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $741.31	Professional		$331.13	$416.87	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $371.54 / $426.58	Facility		$354.81	$371.54	$426.58
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 $331.13 / $489.78 / $741.31	Professional		$331.13	$489.78	$741.31
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 $346.74 / $489.78 / $758.58	Professional		$346.74	$489.78	$758.58
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 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $758.58	Professional		$338.84	$398.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $758.58	Professional		$323.59	$426.58	$758.58