Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $8,317.64 / $25,703.96	Facility		$1,096.48	$8,317.64	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $1,949.84	Professional		$549.54	$977.24	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $831.76	Professional		$436.52	$562.34	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $31,622.78	Facility		$2,137.96	$7,413.10	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,047.13	Professional		$512.86	$660.69	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $776.25	Facility		$501.19	$724.44	$776.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $1,348.96	Professional		$660.69	$741.31	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $20,892.96 / $23,988.33	Facility		$11,748.98	$20,892.96	$23,988.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,202.26	Professional		$588.84	$812.83	$1,202.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $15,848.93 / $22,908.68	Facility		$9,120.11	$15,848.93	$22,908.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,202.26	Professional		$602.56	$812.83	$1,202.26
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 $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,071.52	Professional		$501.19	$645.65	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,549.93 / $29,512.09	Facility		$4,265.80	$9,549.93	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,122.02	Professional		$562.34	$776.25	$1,122.02