Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,754.40 / $11,220.18	Facility		$426.58	$5,754.40	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $1,174.90	Professional		$316.23	$436.52	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $602.56	Professional		$371.54	$371.54	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,090.30 / $7,943.28	Facility		$1,348.96	$3,090.30	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $676.08	Professional		$288.40	$380.19	$676.08
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 $316.23 / $501.19 / $758.58	Professional		$316.23	$501.19	$758.58
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 $316.23 / $512.86 / $776.25	Professional		$316.23	$512.86	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $933.25	Professional		$346.74	$457.09	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $7,413.10	Facility		$2,398.83	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $707.95	Professional		$323.59	$426.58	$707.95