Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.59 / $2,113.00 / $10,268.00	Facility		$175.59	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $182.00 / $301.13	Professional		$117.73	$182.00	$301.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.96 / $188.96 / $188.96	Professional		$188.96	$188.96	$188.96
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 $117.73 / $168.49 / $294.77	Professional		$117.73	$168.49	$294.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.81 / $190.49 / $190.49	Facility		$130.81	$190.49	$190.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $207.86 / $207.86	Professional		$176.27	$207.86	$207.86
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 $125.69 / $204.49 / $340.63	Professional		$125.69	$204.49	$340.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $213.01 / $330.67	Professional		$134.66	$213.01	$330.67
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 $153.51 / $210.04 / $348.12	Professional		$153.51	$210.04	$348.12