Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $10,715.19	Facility		$1,778.28	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $3,467.37	Professional		$128.82	$229.09	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $229.09	Professional		$123.03	$144.54	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,715.35 / $45,708.82	Facility		$239.88	$3,715.35	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $4,073.80 / $7,079.46	Professional		$316.23	$4,073.80	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $10,964.78	Facility		$3,890.45	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $363.08	Professional		$151.36	$229.09	$363.08