Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,260.12 / $6,872.61 / $11,627.00	Facility		$2,260.12	$6,872.61	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,019.83 / $2,280.51 / $5,921.51	Professional		$2,019.83	$2,280.51	$5,921.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,171.57 / $2,171.57 / $2,171.57	Professional		$2,171.57	$2,171.57	$2,171.57
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 $1,749.33 / $2,451.73 / $4,106.79	Professional		$1,749.33	$2,451.73	$4,106.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,969.12 / $1,969.12 / $2,867.29	Facility		$1,969.12	$1,969.12	$2,867.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,123.55 / $2,123.55 / $2,680.66	Professional		$2,123.55	$2,123.55	$2,680.66
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 $1,840.09 / $2,992.27 / $4,289.60	Professional		$1,840.09	$2,992.27	$4,289.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,027.02 / $3,035.62 / $4,176.20	Professional		$2,027.02	$3,035.62	$4,176.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $2,000.32 / $2,829.12	Professional		$184.79	$2,000.32	$2,829.12
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 $2,040.99 / $2,676.46 / $4,215.35	Professional		$2,040.99	$2,676.46	$4,215.35