Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.84 / $1,423.84 / $1,423.84	Facility		$1,423.84	$1,423.84	$1,423.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.44 / $1,423.84 / $2,369.19	Professional		$1,411.44	$1,423.84	$2,369.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,650.00 / $1,650.00 / $1,821.77	Professional		$1,650.00	$1,650.00	$1,821.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,002.76 / $2,013.90 / $3,312.86	Professional		$2,002.76	$2,013.90	$3,312.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.98 / $266.64 / $2,381.81	Facility		$199.98	$266.64	$2,381.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $285.32 / $2,798.09	Professional		$185.46	$285.32	$2,798.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $3,066.27	Facility		$1,350.00	$1,350.00	$3,066.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $3,090.00	Professional		$1,147.50	$1,350.00	$3,090.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,870.38	Facility		$1,350.00	$1,350.00	$1,870.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $1,350.00 / $1,350.00	Professional		$209.56	$1,350.00	$1,350.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,243.59 / $1,865.39 / $2,590.82	Professional		$1,243.59	$1,865.39	$2,590.82
United Facility/Professional Professional Modifier Low / Median / High Price $889.04 / $1,374.43 / $2,013.82	Professional		$889.04	$1,374.43	$2,013.82