Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,030.30 / $6,435.00 / $11,627.00	Facility		$2,030.30	$6,435.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,773.44 / $2,030.30 / $5,319.39	Professional		$1,773.44	$2,030.30	$5,319.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,266.92 / $1,266.92 / $1,266.92	Professional		$1,266.92	$1,266.92	$1,266.92
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 $1,531.56 / $2,202.30 / $3,754.28	Professional		$1,531.56	$2,202.30	$3,754.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,770.58 / $1,770.58 / $2,578.19	Facility		$1,770.58	$1,770.58	$2,578.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,909.45 / $1,909.45 / $2,264.44	Professional		$1,909.45	$1,909.45	$2,264.44
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 $1,619.75 / $2,641.63 / $3,848.39	Professional		$1,619.75	$2,641.63	$3,848.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,818.17 / $2,664.55 / $3,662.36	Professional		$1,818.17	$2,664.55	$3,662.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,577.00 / $2,410.42	Professional		$149.16	$1,577.00	$2,410.42
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 $1,826.37 / $2,372.42 / $3,761.34	Professional		$1,826.37	$2,372.42	$3,761.34