Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $2,238.72 / $9,549.93	Facility		$102.33	$2,238.72	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $416.87	Professional		$54.95	$114.82	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $177.83	Professional		$58.88	$97.72	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $61.66 / $69.18	Facility		$57.54	$61.66	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $109.65 / $21,379.62	Facility		$50.12	$109.65	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $234.42	Professional		$69.18	$123.03	$234.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,995.26	Facility		$660.69	$1,096.48	$1,995.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $239.88	Professional		$69.18	$125.89	$239.88
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 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $128.82 / $239.88	Professional		$56.23	$128.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $199.53	Professional		$58.88	$107.15	$199.53