Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,606.93 / $11,481.54	Facility		$2,344.23	$6,606.93	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $6,456.54	Professional		$128.82	$190.55	$6,456.54
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 $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $426.58	Professional		$123.03	$177.83	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,235.94 / $45,708.82	Facility		$208.93	$3,235.94	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $3,548.13 / $6,309.57	Professional		$281.84	$3,548.13	$6,309.57
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 $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $316.23 / $2,187.76	Professional		$128.82	$316.23	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $389.05	Professional		$165.96	$223.87	$389.05