Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $3,235.94	Facility		$602.56	$1,000.00	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $776.25	Professional		$489.78	$575.44	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $707.95	Professional		$501.19	$630.96	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $676.08	Professional		$138.04	$181.97	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $676.08	Facility		$562.34	$575.44	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,737.80	Professional		$588.84	$794.33	$1,737.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $954.99 / $6,456.54	Facility		$870.96	$954.99	$6,456.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,548.82	Professional		$575.44	$794.33	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,096.48	Professional		$575.44	$851.14	$1,096.48
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,445.44	Professional		$645.65	$758.58	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $891.25	Facility		$741.31	$741.31	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,230.27	Professional		$467.74	$707.95	$1,230.27