Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $4,365.16	Professional		$2,454.71	$3,467.37	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $8,128.31	Professional		$2,951.21	$3,890.45	$8,128.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $6,025.60	Facility		$245.47	$489.78	$6,025.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $6,025.60	Professional		$323.59	$446.68	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $3,630.78	Facility		$2,630.27	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,754.40	Professional		$3,090.30	$3,090.30	$5,754.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $3,715.35	Facility		$2,630.27	$3,630.78	$3,715.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,090.30 / $3,630.78	Professional		$436.52	$3,090.30	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,000.00 / $6,165.95	Professional		$363.08	$1,000.00	$6,165.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $7,244.36	Professional		$3,715.35	$4,365.16	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $512.86 / $3,311.31	Facility		$234.42	$512.86	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $3,630.78	Professional		$1,230.27	$2,089.30	$3,630.78