Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,019.95 / $10,715.19	Facility		$812.83	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,584.89	Professional		$537.03	$794.33	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $512.86	Professional		$446.68	$501.19	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,202.26	Professional		$467.74	$660.69	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,288.25	Facility		$660.69	$660.69	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $21,379.62	Facility		$954.99	$1,047.13	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,348.96	Professional		$512.86	$758.58	$1,348.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $21,379.62	Facility		$954.99	$1,047.13	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,380.38	Professional		$512.86	$776.25	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $562.34 / $2,951.21	Facility		$100.00	$562.34	$2,951.21
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,412.54	Professional		$501.19	$776.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,265.80 / $7,244.36	Facility		$1,778.28	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,230.27	Professional		$478.63	$707.95	$1,230.27