Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.17 / $3,983.00 / $10,039.94	Facility		$731.17	$3,983.00	$10,039.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $562.54 / $860.23	Professional		$412.16	$562.54	$860.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $547.50 / $547.50 / $547.50	Professional		$547.50	$547.50	$547.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.23 / $488.99 / $873.56	Professional		$364.23	$488.99	$873.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.15 / $505.38 / $625.52	Facility		$421.15	$505.38	$625.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $359.41 / $463.27 / $463.27	Professional		$359.41	$463.27	$463.27
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.80 / $589.61 / $903.29	Professional		$355.80	$589.61	$903.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $417.76 / $617.90 / $901.26	Professional		$417.76	$617.90	$901.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $374.44 / $594.82	Professional		$75.93	$374.44	$594.82
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 $423.97 / $568.54 / $987.08	Professional		$423.97	$568.54	$987.08