Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.76 / $3,265.00 / $9,504.00	Facility		$428.76	$3,265.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.44 / $415.44 / $769.19	Professional		$273.44	$415.44	$769.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $384.74 / $384.74 / $384.74	Professional		$384.74	$384.74	$384.74
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 $223.55 / $391.89 / $697.69	Professional		$223.55	$391.89	$697.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.95 / $355.14 / $554.91	Facility		$295.95	$355.14	$554.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.29 / $464.29 / $823.05	Professional		$464.29	$464.29	$823.05
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 $307.69 / $469.69 / $825.64	Professional		$307.69	$469.69	$825.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $485.56 / $825.64	Professional		$320.89	$485.56	$825.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.30 / $351.99 / $587.21	Professional		$38.30	$351.99	$587.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.83 / $547.08 / $937.64	Professional		$327.83	$547.08	$937.64