Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $1,875.86 / $1,911.80	Facility		$658.00	$1,875.86	$1,911.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,363.00 / $3,672.00 / $4,400.00	Facility		$1,363.00	$3,672.00	$4,400.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,363.00 / $3,100.00 / $3,672.00	Facility		$1,363.00	$3,100.00	$3,672.00