Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,630.27 / $10,232.93	Facility		$389.05	$2,630.27	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $2,344.23 / $4,466.84	Professional		$158.49	$2,344.23	$4,466.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
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 $173.78 / $1,905.46 / $4,365.16	Professional		$173.78	$1,905.46	$4,365.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $194.98	Facility		$165.96	$173.78	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,344.23 / $21,379.62	Facility		$144.54	$2,344.23	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $575.44 / $4,897.79	Professional		$194.98	$575.44	$4,897.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $21,379.62	Facility		$3,801.89	$3,801.89	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $537.03 / $4,897.79	Professional		$194.98	$537.03	$4,897.79
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 $151.36 / $436.52 / $4,365.16	Professional		$151.36	$436.52	$4,365.16
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 $177.83 / $2,238.72 / $5,248.07	Professional		$177.83	$2,238.72	$5,248.07