Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,585.78 / $12,302.69	Facility		$1,513.56	$7,585.78	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $5,370.32	Professional		$812.83	$1,202.26	$5,370.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,412.54	Professional		$691.83	$831.76	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,698.24	Professional		$758.58	$977.24	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $891.25 / $977.24	Facility		$812.83	$891.25	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $21,379.62	Facility		$758.58	$977.24	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,122.02 / $1,737.80	Professional		$331.13	$1,122.02	$1,737.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $10,232.93 / $10,471.29	Facility		$3,235.94	$10,232.93	$10,471.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,122.02 / $1,737.80	Professional		$331.13	$1,122.02	$1,737.80
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 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,778.28	Professional		$794.33	$933.25	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $10,964.78	Facility		$3,890.45	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,659.59	Professional		$741.31	$977.24	$1,659.59