Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $8,912.51 / $11,748.98	Facility		$131.83	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $363.08	Professional		$109.65	$138.04	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,388.44 / $7,943.28	Facility		$1,348.96	$3,388.44	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $251.19	Professional		$112.20	$138.04	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $144.54	Facility		$117.49	$123.03	$144.54
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 $125.89 / $169.82 / $269.15	Professional		$125.89	$169.82	$269.15
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 $131.83 / $173.78 / $269.15	Professional		$131.83	$173.78	$269.15
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 $120.23 / $138.04 / $263.03	Professional		$120.23	$138.04	$263.03
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 $114.82 / $154.88 / $239.88	Professional		$114.82	$154.88	$239.88