Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,512.10 / $5,512.10 / $5,512.10	Facility		$5,512.10	$5,512.10	$5,512.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,391.72 / $5,512.10 / $7,228.32	Professional		$5,391.72	$5,512.10	$7,228.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,600.00 / $2,600.00 / $4,880.75	Professional		$2,600.00	$2,600.00	$4,880.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,396.58 / $5,681.40 / $16,566.96	Professional		$5,396.58	$5,681.40	$16,566.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $769.69 / $1,026.25 / $8,437.50	Facility		$769.69	$1,026.25	$8,437.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $667.06 / $1,026.25 / $8,437.50	Professional		$667.06	$1,026.25	$8,437.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,488.00 / $4,978.93 / $6,889.88	Facility		$4,488.00	$4,978.93	$6,889.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,232.09 / $4,232.09 / $11,898.75	Professional		$4,232.09	$4,232.09	$11,898.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,488.00 / $4,978.93 / $4,978.93	Facility		$4,488.00	$4,978.93	$4,978.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,232.09 / $4,978.93 / $5,802.50	Professional		$4,232.09	$4,978.93	$5,802.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $468.75 / $1,000.00 / $6,875.00	Professional		$468.75	$1,000.00	$6,875.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,275.46 / $3,413.20 / $5,624.00	Professional		$2,275.46	$3,413.20	$5,624.00