Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.15 / $5,706.00 / $11,017.90	Facility		$1,493.15	$5,706.00	$11,017.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,731.67 / $3,731.67 / $15,394.80	Facility	50	$3,731.67	$3,731.67	$15,394.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.28 / $1,493.15 / $4,790.14	Professional		$482.28	$1,493.15	$4,790.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $412.31 / $412.31 / $453.54	Professional		$412.31	$412.31	$453.54
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 $420.01 / $1,962.99 / $3,936.84	Professional		$420.01	$1,962.99	$3,936.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.55 / $612.39 / $773.09	Facility		$420.55	$612.39	$773.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,546.86 / $3,026.80 / $4,514.89	Professional		$2,546.86	$3,026.80	$4,514.89
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 $439.39 / $953.84 / $4,464.93	Professional		$439.39	$953.84	$4,464.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $494.77 / $1,030.27 / $4,464.93	Professional		$494.77	$1,030.27	$4,464.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,180.68 / $2,896.96 / $3,937.81	Professional		$2,180.68	$2,896.96	$3,937.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $11,267.00 / $16,256.00	Facility		$4,873.00	$11,267.00	$16,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,848.87 / $3,931.50 / $6,456.15	Professional		$2,848.87	$3,931.50	$6,456.15