Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,694.91 / $3,694.91 / $3,694.91	Facility		$3,694.91	$3,694.91	$3,694.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $695.78 / $3,694.91	Professional		$336.05	$695.78	$3,694.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $811.99 / $811.99 / $3,946.66	Professional		$811.99	$811.99	$3,946.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $990.00	Professional		$600.00	$600.00	$990.00
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 / $405.00 / $413.10	Facility		$64.00	$405.00	$413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $347.75 / $750.00	Professional		$344.25	$347.75	$750.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $405.00 / $413.10	Facility		$405.00	$405.00	$413.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $413.10	Professional		$405.00	$405.00	$413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $50.00 / $50.00	Professional		$43.00	$50.00	$50.00