Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $13,182.57	Professional		$660.69	$758.58	$13,182.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $60,255.96	Facility		$3,162.28	$8,511.38	$60,255.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $9,772.37	Professional		$588.84	$588.84	$9,772.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $28,183.83	Professional		$25,703.96	$25,703.96	$28,183.83
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 $1,096.48 / $1,096.48 / $15,135.61	Professional		$1,096.48	$1,096.48	$15,135.61
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 $776.25 / $8,912.51 / $23,442.29	Professional		$776.25	$8,912.51	$23,442.29