Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,893.31 / $6,582.00 / $11,627.00	Facility		$1,893.31	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,654.27 / $1,938.54 / $5,758.77	Professional		$1,654.27	$1,938.54	$5,758.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,182.91 / $1,182.91 / $1,182.91	Professional		$1,182.91	$1,182.91	$1,182.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,460.23 / $1,924.07 / $3,197.82	Professional		$1,460.23	$1,924.07	$3,197.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,650.35 / $1,650.35 / $2,403.14	Facility		$1,650.35	$1,650.35	$2,403.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,779.79 / $1,779.79 / $1,886.72	Professional		$1,779.79	$1,779.79	$1,886.72
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 $1,511.65 / $2,265.19 / $3,596.44	Professional		$1,511.65	$2,265.19	$3,596.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,689.49 / $2,474.31 / $3,441.51	Professional		$1,689.49	$2,474.31	$3,441.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,461.91 / $2,257.76	Professional		$149.16	$1,461.91	$2,257.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,712.06 / $2,318.42 / $3,675.99	Professional		$1,712.06	$2,318.42	$3,675.99