Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,311.31 / $6,309.57	Facility		$1,230.27	$3,311.31	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,412.54	Professional		$1,000.00	$1,148.15	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,348.96	Professional		$977.24	$1,096.48	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,380.38	Professional		$676.08	$870.96	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,288.25	Facility		$1,071.52	$1,096.48	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $3,311.31	Professional		$1,122.02	$1,513.56	$3,311.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $7,943.28	Facility		$1,096.48	$3,890.45	$7,943.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,951.21	Professional		$1,096.48	$1,513.56	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,445.44	Professional		$977.24	$1,047.13	$1,445.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,511.89	Professional		$1,122.02	$1,318.26	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,041.74	Facility		$1,737.80	$1,737.80	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,344.23	Professional		$912.01	$1,318.26	$2,344.23