Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $1,513.50 / $9,496.00	Facility		$299.86	$1,513.50	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $285.47 / $492.27	Professional		$183.29	$285.47	$492.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $286.35 / $286.35	Professional		$139.18	$286.35	$286.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,150.00 / $3,943.00	Facility		$1,051.00	$2,150.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $245.08 / $434.04	Professional		$158.71	$245.08	$434.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $323.58 / $323.58	Professional		$323.58	$323.58	$323.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.70 / $296.62 / $296.62	Facility		$203.70	$296.62	$296.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.89 / $314.99 / $314.99	Professional		$225.89	$314.99	$314.99
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 $188.15 / $300.66 / $515.38	Professional		$188.15	$300.66	$515.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $191.79 / $320.70 / $501.10	Professional		$191.79	$320.70	$501.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $264.33 / $413.21	Professional		$31.85	$264.33	$413.21
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 $225.60 / $322.27 / $534.69	Professional		$225.60	$322.27	$534.69