Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,818.38 / $10,715.19	Facility		$501.19	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $426.58 / $3,019.95	Professional		$177.83	$426.58	$3,019.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $389.05	Professional		$102.33	$151.36	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $371.54	Facility		$316.23	$316.23	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $549.54 / $21,379.62	Facility		$177.83	$549.54	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $457.09 / $3,019.95	Professional		$218.78	$457.09	$3,019.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,128.61 / $21,379.62	Facility		$1,995.26	$5,128.61	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $489.78 / $3,162.28	Professional		$223.87	$489.78	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,762.47	Facility		$100.00	$100.00	$7,762.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $691.83 / $3,235.94	Professional		$302.00	$691.83	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $407.38 / $2,630.27	Professional		$165.96	$407.38	$2,630.27