Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $35,481.34	Facility		$602.56	$3,981.07	$35,481.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $1,380.38	Professional		$204.17	$407.38	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $630.96	Professional		$141.25	$309.03	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $26,915.35 / $60,255.96	Facility		$1,995.26	$26,915.35	$60,255.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $870.96	Professional		$389.05	$537.03	$870.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Facility		$331.13	$331.13	$389.05
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 $323.59 / $501.19 / $776.25	Professional		$323.59	$501.19	$776.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $21,379.62	Facility		$3,801.89	$5,011.87	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $794.33	Professional		$309.03	$501.19	$794.33
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 / $38,018.94	Facility		$100.00	$100.00	$38,018.94
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $724.44	Professional		$323.59	$398.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $19,498.45 / $31,622.78	Facility		$6,760.83	$19,498.45	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $676.08	Professional		$281.84	$416.87	$676.08