Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,056.81 / $11,093.10	Facility		$1,000.00	$6,056.81	$11,093.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $25,466.74 / $25,466.74 / $25,466.74	Facility	50	$25,466.74	$25,466.74	$25,466.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $1,016.34 / $6,457.70	Professional		$307.60	$1,016.34	$6,457.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $157.66 / $158.84	Professional		$157.66	$157.66	$158.84
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 $294.27 / $2,643.67 / $5,478.62	Professional		$294.27	$2,643.67	$5,478.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $441.42 / $3,965.51 / $8,217.94	Professional	50	$441.42	$3,965.51	$8,217.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.39 / $425.76 / $537.50	Facility		$292.39	$425.76	$537.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,167.80 / $4,185.58 / $5,615.66	Professional		$3,167.80	$4,185.58	$5,615.66
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 $301.14 / $660.01 / $5,782.55	Professional		$301.14	$660.01	$5,782.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $721.71 / $5,782.55	Professional		$344.00	$721.71	$5,782.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,692.40 / $3,563.48 / $4,923.29	Professional		$2,692.40	$3,563.48	$4,923.29
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 $3,096.97 / $4,466.16 / $6,513.62	Professional		$3,096.97	$4,466.16	$6,513.62