Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,076.51 / $6,582.00 / $11,627.00	Facility		$2,076.51	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,076.51 / $2,139.35 / $5,440.46	Professional		$2,076.51	$2,139.35	$5,440.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $997.46 / $997.46 / $997.46	Professional		$997.46	$997.46	$997.46
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 $1,497.97 / $2,243.35 / $3,716.91	Professional		$1,497.97	$2,243.35	$3,716.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,809.52 / $1,809.52 / $2,634.89	Facility		$1,809.52	$1,809.52	$2,634.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,951.43 / $1,951.43 / $2,335.50	Professional		$1,951.43	$1,951.43	$2,335.50
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 $1,657.24 / $2,713.59 / $3,942.87	Professional		$1,657.24	$2,713.59	$3,942.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,862.73 / $2,724.75 / $3,754.78	Professional		$1,862.73	$2,724.75	$3,754.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,615.02 / $2,471.58	Professional		$149.16	$1,615.02	$2,471.58
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 $1,875.40 / $2,394.94 / $3,872.10	Professional		$1,875.40	$2,394.94	$3,872.10