Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $2,881.00	Facility		$29.74	$29.74	$2,881.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $37.17	Professional		$29.74	$29.74	$37.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,864.80 / $1,864.80 / $1,864.80	Professional		$1,864.80	$1,864.80	$1,864.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $98.75 / $251.50	Professional		$79.00	$98.75	$251.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $59,499.41 / $61,249.39	Facility		$48,999.51	$59,499.41	$61,249.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $872.98	Professional		$872.98	$872.98	$872.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $872.98	Professional		$872.98	$872.98	$872.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00