Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.74 / $1,752.63 / $32,289.10	Facility		$623.74	$1,752.63	$32,289.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.58 / $2,653.59 / $32,289.10	Professional		$884.58	$2,653.59	$32,289.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.61 / $279.61 / $755.85	Professional		$279.61	$279.61	$755.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,238.00 / $36,529.00	Facility		$2,097.00	$8,238.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.44 / $6,150.71 / $15,397.64	Professional		$562.44	$6,150.71	$15,397.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $494.21 / $719.64 / $772.20	Facility		$494.21	$719.64	$772.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,315.74 / $7,370.14 / $13,065.26	Professional		$6,315.74	$7,370.14	$13,065.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.93 / $764.93 / $764.93	Professional		$764.93	$764.93	$764.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15,931.83 / $17,368.75 / $17,368.75	Professional		$15,931.83	$17,368.75	$17,368.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,205.86 / $8,253.32 / $11,425.57	Professional		$6,205.86	$8,253.32	$11,425.57
United Facility/Professional Professional Modifier Low / Median / High Price $8,980.65 / $11,778.84 / $18,488.66	Professional		$8,980.65	$11,778.84	$18,488.66