Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.52 / $1,967.00 / $9,516.00	Facility		$315.52	$1,967.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.24 / $333.60 / $2,438.00	Professional		$129.24	$333.60	$2,438.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $162.50 / $162.50	Professional		$162.50	$162.50	$162.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,313.00 / $17,584.00	Facility		$1,093.00	$7,313.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72,899.27 / $72,899.27 / $72,899.27	Facility		$72,899.27	$72,899.27	$72,899.27
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $647.35 / $1,463.24	Facility		$99.00	$647.35	$1,463.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00