Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.52 / $2,451.00 / $8,956.00	Facility		$900.52	$2,451.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.12 / $972.06 / $1,631.71	Professional		$730.12	$972.06	$1,631.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $846.08 / $1,208.69 / $1,301.66	Professional		$846.08	$1,208.69	$1,301.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.59 / $875.70 / $1,549.11	Professional		$655.59	$875.70	$1,549.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $808.60 / $1,177.43 / $1,177.43	Facility		$808.60	$1,177.43	$1,177.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $719.64 / $1,022.74 / $1,022.74	Professional		$719.64	$1,022.74	$1,022.74
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 $738.81 / $1,087.81 / $1,823.30	Professional		$738.81	$1,087.81	$1,823.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $815.79 / $1,162.20 / $1,767.86	Professional		$815.79	$1,162.20	$1,767.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $701.72 / $1,213.08	Professional		$111.35	$701.72	$1,213.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.63 / $1,028.55 / $1,720.04	Professional		$771.63	$1,028.55	$1,720.04