Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $1,927.11 / $9,504.00	Facility		$252.93	$1,927.11	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.33 / $261.33 / $438.66	Professional		$180.33	$261.33	$438.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $132.52 / $422.38	Professional		$132.52	$132.52	$422.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.18 / $242.49 / $424.38	Professional		$166.18	$242.49	$424.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.10 / $291.38 / $291.38	Facility		$200.10	$291.38	$291.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.99 / $299.75 / $299.75	Professional		$218.99	$299.75	$299.75
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 $185.28 / $293.16 / $491.50	Professional		$185.28	$293.16	$491.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.81 / $313.37 / $485.12	Professional		$200.81	$313.37	$485.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $209.23 / $346.14	Professional		$31.85	$209.23	$346.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,048.00 / $4,132.00	Facility		$1,106.00	$2,048.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.18 / $307.48 / $522.01	Professional		$226.18	$307.48	$522.01