Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.61 / $5,355.00 / $10,817.74	Facility		$208.61	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $139.66 / $406.06	Professional		$132.62	$139.66	$406.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $121.51 / $121.51	Professional		$121.51	$121.51	$121.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $169.62 / $289.35	Professional		$133.37	$169.62	$289.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $115.27 / $167.85	Facility		$115.27	$115.27	$167.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $124.31 / $173.83	Professional		$124.31	$124.31	$173.83
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 $124.31 / $186.44 / $281.52	Professional		$124.31	$186.44	$281.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.92 / $186.44 / $282.20	Professional		$124.92	$186.44	$282.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $116.32 / $155.95	Professional		$88.04	$116.32	$155.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,796.00 / $13,009.00	Facility		$4,070.00	$8,796.00	$13,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $169.08 / $259.95	Professional		$123.31	$169.08	$259.95