Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,570.40 / $10,715.19	Facility		$295.12	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $316.23 / $660.69	Professional		$144.54	$316.23	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $354.81	Professional		$144.54	$199.53	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $21,379.62	Facility		$269.15	$269.15	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $645.65	Professional		$173.78	$323.59	$645.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $269.15 / $21,379.62	Facility		$34.67	$269.15	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $588.84	Professional		$173.78	$316.23	$588.84
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $363.08 / $812.83	Professional		$154.88	$363.08	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $954.99 / $3,019.95	Facility		$371.54	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $588.84	Professional		$169.82	$331.13	$588.84