Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
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
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $3,630.78	Professional		$436.52	$436.52	$3,630.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $10,471.29	Professional		$9,549.93	$9,549.93	$10,471.29
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 $831.76 / $831.76 / $5,754.40	Professional		$831.76	$831.76	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $3,019.95 / $8,128.31	Professional		$575.44	$3,019.95	$8,128.31