Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,607.13 / $6,582.00 / $11,627.00	Facility		$1,607.13	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.07 / $1,607.13 / $3,057.45	Professional		$1,428.07	$1,607.13	$3,057.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $770.98 / $770.98 / $770.98	Professional		$770.98	$770.98	$770.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.78 / $1,723.45 / $2,881.20	Professional		$1,220.78	$1,723.45	$2,881.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,401.50 / $1,401.50 / $2,040.78	Facility		$1,401.50	$1,401.50	$2,040.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,511.42 / $1,511.42 / $1,901.77	Professional		$1,511.42	$1,511.42	$1,901.77
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 $1,332.76 / $2,129.73 / $2,895.61	Professional		$1,332.76	$2,129.73	$2,895.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,436.41 / $2,154.81 / $3,024.86	Professional		$1,436.41	$2,154.81	$3,024.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,254.52 / $1,919.64	Professional		$112.99	$1,254.52	$1,919.64
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 $1,487.15 / $1,908.11 / $3,235.40	Professional		$1,487.15	$1,908.11	$3,235.40