Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.22 / $675.45 / $3,390.66	Facility		$239.22	$675.45	$3,390.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.25 / $1,022.21 / $3,390.66	Professional		$339.25	$1,022.21	$3,390.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.01 / $211.01 / $211.01	Professional		$211.01	$211.01	$211.01
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 $223.40 / $706.28 / $2,059.76	Professional		$223.40	$706.28	$2,059.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.37 / $275.75 / $348.12	Facility		$189.37	$275.75	$348.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $769.22 / $799.92 / $1,363.62	Professional		$769.22	$799.92	$1,363.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $296.25 / $296.25	Professional		$296.25	$296.25	$296.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,186.23 / $2,350.26 / $2,350.26	Professional		$2,186.23	$2,350.26	$2,350.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $648.15 / $854.39 / $1,167.37	Professional		$648.15	$854.39	$1,167.37
United Facility/Professional Professional Modifier Low / Median / High Price $994.68 / $1,407.38 / $2,017.47	Professional		$994.68	$1,407.38	$2,017.47