Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.20 / $2,292.00 / $9,516.00	Facility		$223.20	$2,292.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $223.20 / $451.28	Professional		$87.10	$223.20	$451.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $37.76 / $37.76	Professional		$37.76	$37.76	$37.76
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 $80.88 / $236.88 / $715.42	Professional		$80.88	$236.88	$715.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $99.58 / $155.60	Facility		$82.98	$99.58	$155.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.36 / $256.68 / $406.59	Professional		$229.36	$256.68	$406.59
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 $101.23 / $226.73 / $732.88	Professional		$101.23	$226.73	$732.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $239.79 / $732.88	Professional		$103.72	$239.79	$732.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.18 / $269.27 / $366.93	Professional		$199.18	$269.27	$366.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.18 / $312.98 / $701.23	Professional		$194.18	$312.98	$701.23