Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.47 / $723.47 / $723.47	Facility		$723.47	$723.47	$723.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.64 / $723.47 / $951.34	Professional		$707.64	$723.47	$951.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $887.79 / $2,696.25 / $3,076.50	Professional		$887.79	$2,696.25	$3,076.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $949.90 / $1,424.85	Professional		$56.99	$949.90	$1,424.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $135.47 / $1,024.69	Facility		$101.61	$135.47	$1,024.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $135.47 / $2,524.50	Professional		$89.53	$135.47	$2,524.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $1,497.62	Facility		$795.00	$795.00	$1,497.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $795.00 / $1,571.25	Professional		$675.75	$795.00	$1,571.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $950.31	Facility		$795.00	$795.00	$950.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $795.00 / $795.00	Professional		$106.49	$795.00	$795.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $2,200.00 / $3,172.62	Professional		$1,760.00	$2,200.00	$3,172.62
United Facility/Professional Professional Modifier Low / Median / High Price $445.72 / $665.76 / $855.01	Professional		$445.72	$665.76	$855.01