Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $7,413.10	Professional		$3,715.35	$3,715.35	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $7,585.78	Facility		$489.78	$489.78	$7,585.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $72,443.60 / $72,443.60 / $72,443.60	Facility		$72,443.60	$72,443.60	$72,443.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $19,054.61 / $20,892.96	Professional		$977.24	$19,054.61	$20,892.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $12,022.64	Professional		$912.01	$912.01	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $6,918.31 / $18,197.01	Professional		$645.65	$6,918.31	$18,197.01