Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,122.02	Facility		$512.86	$794.33	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,047.13	Professional		$512.86	$831.76	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $120.23	Professional		$81.28	$95.50	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,202.26 / $1,949.84	Professional		$229.09	$1,202.26	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $758.58 / $1,122.02	Facility		$107.15	$758.58	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $776.25 / $1,380.38	Professional		$109.65	$776.25	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,000.00 / $1,412.54	Facility		$141.25	$1,000.00	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $776.25 / $1,122.02	Facility		$112.20	$776.25	$1,122.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $758.58 / $758.58	Professional		$46.77	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $177.83	Professional		$50.12	$100.00	$177.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $97.72	Professional		$74.13	$74.13	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $2,570.40	Facility		$70.79	$109.65	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $104.71 / $776.25	Professional		$41.69	$104.71	$776.25