Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,775.57 / $1,775.57 / $1,775.57	Facility		$1,775.57	$1,775.57	$1,775.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.82 / $1,775.57 / $2,517.19	Professional		$1,736.82	$1,775.57	$2,517.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,943.30 / $1,943.30 / $1,943.30	Professional		$1,943.30	$1,943.30	$1,943.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.65 / $1,419.70 / $3,282.75	Professional		$1,419.65	$1,419.70	$3,282.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.99 / $2,193.75 / $3,751.98	Facility		$280.99	$2,193.75	$3,751.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $2,193.75 / $3,573.31	Professional		$219.38	$2,193.75	$3,573.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $3,329.08	Facility		$1,440.00	$1,440.00	$3,329.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $3,832.50	Professional		$1,224.00	$1,440.00	$3,832.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $2,396.69	Facility		$1,440.00	$1,440.00	$2,396.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $1,440.00 / $1,440.00	Professional		$194.32	$1,440.00	$1,440.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $400.00 / $2,750.00	Professional		$187.50	$400.00	$2,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $927.50 / $1,372.62 / $2,109.62	Professional		$927.50	$1,372.62	$2,109.62