Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $600.00 / $725.04	Facility		$33.00	$600.00	$725.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $2,400.00 / $2,400.00	Professional		$41.64	$2,400.00	$2,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.00 / $1,040.59 / $1,406.10	Professional		$860.00	$1,040.59	$1,406.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.75 / $501.19 / $4,100.63	Facility		$303.75	$501.19	$4,100.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $318.94 / $3,037.50	Professional		$198.33	$318.94	$3,037.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.39 / $1,150.00 / $2,108.35	Facility		$583.39	$1,150.00	$2,108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $977.50	Professional		$839.50	$977.50	$977.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $2,108.35	Facility		$1,150.00	$1,150.00	$2,108.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $371.25 / $2,925.00	Professional		$247.50	$371.25	$2,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $438.22 / $1,500.00	Professional		$350.58	$438.22	$1,500.00