Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,041.74 / $5,370.32	Facility		$478.63	$2,041.74	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $125.89 / $645.65	Professional		$44.67	$125.89	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $398.11	Professional		$199.53	$199.53	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $3,981.07	Facility		$707.95	$2,238.72	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $831.76	Professional		$446.68	$549.54	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,258.93 / $2,570.40	Facility		$380.19	$1,258.93	$2,570.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,073.80	Facility		$1,096.48	$1,862.09	$4,073.80