Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.90 / $2,547.00 / $10,635.00	Facility		$628.90	$2,547.00	$10,635.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,537.50 / $1,537.50 / $1,537.50	Facility	50	$1,537.50	$1,537.50	$1,537.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.31 / $433.79 / $860.20	Professional		$363.31	$433.79	$860.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $280.31 / $280.31 / $564.24	Professional		$280.31	$280.31	$564.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,555.00 / $19,117.00	Facility		$2,003.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.05 / $452.11 / $739.32	Professional		$346.05	$452.11	$739.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $537.21 / $678.17	Facility		$368.93	$537.21	$678.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.86 / $427.39 / $705.30	Professional		$397.86	$427.39	$705.30
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 $360.00 / $522.80 / $828.14	Professional		$360.00	$522.80	$828.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $361.69 / $550.77 / $829.79	Professional		$361.69	$550.77	$829.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.29 / $431.30 / $576.62	Professional		$328.29	$431.30	$576.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $526.41 / $813.04	Professional		$393.25	$526.41	$813.04