Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.38 / $1,967.00 / $9,534.00	Facility		$176.38	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $177.84 / $302.18	Professional		$112.79	$177.84	$302.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $266.20 / $266.20	Professional		$266.20	$266.20	$266.20
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 $112.19 / $167.88 / $296.61	Professional		$112.19	$167.88	$296.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.71 / $183.06 / $183.06	Facility		$125.71	$183.06	$183.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.35 / $209.15 / $209.15	Professional		$173.35	$209.15	$209.15
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 $120.78 / $200.95 / $341.54	Professional		$120.78	$200.95	$341.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $208.99 / $332.75	Professional		$129.41	$208.99	$332.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $200.82 / $289.48	Professional		$148.34	$200.82	$289.48
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $211.58 / $348.57	Professional		$158.07	$211.58	$348.57