Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.58 / $2,849.00 / $11,581.00	Facility		$272.58	$2,849.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $496.25 / $941.38	Professional		$177.86	$496.25	$941.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.87 / $173.87 / $173.87	Professional		$173.87	$173.87	$173.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $456.65 / $1,250.75	Professional		$152.91	$456.65	$1,250.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.12 / $155.12 / $225.88	Facility		$155.12	$155.12	$225.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $455.13 / $455.13 / $484.88	Professional		$455.13	$455.13	$484.88
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 $176.22 / $340.80 / $1,071.85	Professional		$176.22	$340.80	$1,071.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $182.49 / $413.75 / $1,067.21	Professional		$182.49	$413.75	$1,067.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $397.49 / $523.97 / $714.78	Professional		$397.49	$523.97	$714.78
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.92 / $793.83 / $1,182.09	Professional		$396.92	$793.83	$1,182.09