Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.69 / $1,967.00 / $9,534.00	Facility		$141.69	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $153.36 / $250.48	Professional		$90.66	$153.36	$250.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $138.94 / $213.78	Professional		$138.94	$138.94	$213.78
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 $87.35 / $132.52 / $229.05	Professional		$87.35	$132.52	$229.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $175.61 / $175.61	Professional		$175.61	$175.61	$175.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $147.15 / $147.15	Facility		$101.05	$147.15	$147.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $167.97 / $167.97	Professional		$126.31	$167.97	$167.97
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 $97.09 / $158.31 / $275.18	Professional		$97.09	$158.31	$275.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.02 / $167.97 / $267.22	Professional		$104.02	$167.97	$267.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $163.91 / $241.21	Professional		$117.45	$163.91	$241.21
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 $109.39 / $167.10 / $277.14	Professional		$109.39	$167.10	$277.14