Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,019.95 / $10,715.19	Facility		$1,202.26	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $2,630.27	Professional		$64.57	$89.13	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $912.01	Professional		$426.58	$549.54	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,288.25 / $41,686.94	Facility		$85.11	$1,288.25	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,445.44 / $2,570.40	Professional		$112.20	$1,445.44	$2,570.40
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 Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $128.82	Professional		$60.26	$81.28	$128.82