Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.33 / $1,662.33 / $1,662.33	Facility		$1,662.33	$1,662.33	$1,662.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,493.85 / $1,662.33 / $3,043.89	Professional		$1,493.85	$1,662.33	$3,043.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,062.14 / $1,062.14 / $1,062.14	Professional		$1,062.14	$1,062.14	$1,062.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.12 / $3,868.69 / $6,189.90	Facility		$2,807.12	$3,868.69	$6,189.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.07 / $1,512.47 / $4,023.43	Professional		$1,329.07	$1,512.47	$4,023.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.11 / $2,047.43 / $3,160.19	Facility		$233.11	$2,047.43	$3,160.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.05 / $1,941.72 / $3,136.63	Professional		$224.05	$1,941.72	$3,136.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $3,703.34	Facility		$1,786.79	$1,786.79	$3,703.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $3,663.75	Professional		$1,518.77	$1,786.79	$3,663.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Professional		$1,786.79	$1,786.79	$1,786.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $354.04 / $2,765.98	Professional		$177.02	$354.04	$2,765.98
United Facility/Professional Professional Modifier Low / Median / High Price $929.26 / $1,453.40 / $1,964.57	Professional		$929.26	$1,453.40	$1,964.57