Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,388.44 / $11,220.18	Facility		$707.95	$3,388.44	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,778.28	Professional		$446.68	$691.83	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $933.25	Professional		$234.42	$467.74	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $831.76	Professional		$398.11	$537.03	$831.76
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $575.44	Facility		$489.78	$489.78	$575.44
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 $467.74 / $660.69 / $954.99	Professional		$467.74	$660.69	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $21,379.62	Facility		$954.99	$1,348.96	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,000.00	Professional		$426.58	$645.65	$1,000.00
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 / $2,398.83	Facility		$100.00	$100.00	$2,398.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $1,047.13	Professional		$467.74	$549.54	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $7,244.36	Facility		$2,238.72	$4,365.16	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $870.96	Professional		$363.08	$549.54	$870.96