Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,570.40 / $10,715.19	Facility		$281.84	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $912.01	Professional		$251.19	$309.03	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $302.00	Professional		$204.17	$234.42	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $457.09	Professional		$218.78	$275.42	$457.09
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $512.86	Professional		$223.87	$323.59	$512.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $457.09	Professional		$213.80	$316.23	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $575.44	Professional		$257.04	$302.00	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $954.99 / $2,951.21	Facility		$398.11	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $478.63	Professional		$190.55	$275.42	$478.63