Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $8,912.51 / $12,022.64	Facility		$933.25	$8,912.51	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $3,467.37	Professional		$891.25	$1,174.90	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,659.59	Professional		$691.83	$933.25	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,202.26	Facility		$1,000.00	$1,023.29	$1,202.26
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 $588.84 / $1,318.26 / $2,089.30	Professional		$588.84	$1,318.26	$2,089.30
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 $588.84 / $1,318.26 / $2,089.30	Professional		$588.84	$1,318.26	$2,089.30
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 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,344.23	Professional		$1,047.13	$1,230.27	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,606.93 / $10,471.29	Facility		$3,235.94	$6,606.93	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,949.84	Professional		$851.14	$1,148.15	$1,949.84