Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.48 / $1,028.02 / $9,504.00	Facility		$194.48	$1,028.02	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $198.28 / $375.46	Professional		$127.88	$198.28	$375.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $135.72 / $135.72	Professional		$135.72	$135.72	$135.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $177.94 / $314.31	Professional		$103.81	$177.94	$314.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $206.39 / $206.39	Facility		$141.74	$206.39	$206.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $229.68 / $229.68	Professional		$167.04	$229.68	$229.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.62 / $219.24 / $377.47	Professional		$130.62	$219.24	$377.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $226.08 / $365.40	Professional		$136.18	$226.08	$365.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $235.19 / $342.00	Professional		$175.55	$235.19	$342.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $235.30 / $388.67	Professional		$171.77	$235.30	$388.67