Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,351.96 / $3,351.96 / $3,351.96	Facility		$3,351.96	$3,351.96	$3,351.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $2,899.00 / $3,351.96	Professional		$503.29	$2,899.00	$3,351.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $502.94 / $502.94 / $2,561.29	Professional		$502.94	$502.94	$2,561.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $987.00	Professional		$600.00	$600.00	$987.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $61,249.39 / $61,249.39	Facility		$48,999.51	$61,249.39	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $390.00 / $397.80	Facility		$64.00	$390.00	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $331.50 / $390.00	Professional		$331.50	$331.50	$390.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Facility		$390.00	$390.00	$397.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $463.01	Professional		$390.00	$390.00	$463.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00