Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $4,073.80	Professional		$2,187.76	$3,162.28	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,137.96	Professional		$1,862.09	$1,862.09	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $7,585.78	Professional		$2,630.27	$3,630.78	$7,585.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $436.52 / $5,370.32	Facility		$218.78	$436.52	$5,370.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $5,370.32	Professional		$281.84	$398.11	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $2,691.53	Facility		$2,454.71	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $5,128.61	Professional		$2,290.87	$2,290.87	$5,128.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $3,388.44	Facility		$2,454.71	$2,691.53	$3,388.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $2,290.87 / $2,691.53	Professional		$389.05	$2,290.87	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $676.08 / $4,570.88	Professional		$269.15	$676.08	$4,570.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,760.83	Professional		$3,388.44	$3,981.07	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $478.63 / $3,019.95	Facility		$213.80	$478.63	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $3,235.94	Professional		$1,122.02	$1,905.46	$3,235.94