Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.06 / $6,410.35 / $11,939.42	Facility		$844.06	$6,410.35	$11,939.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.67 / $1,997.30 / $11,798.95	Professional		$518.67	$1,997.30	$11,798.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $412.40 / $483.91 / $5,355.55	Professional		$412.40	$483.91	$5,355.55
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 $457.69 / $5,352.46 / $10,694.28	Professional		$457.69	$5,352.46	$10,694.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $452.30 / $452.30 / $658.62	Facility		$452.30	$452.30	$658.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,517.51 / $6,517.51 / $8,182.58	Professional		$6,517.51	$6,517.51	$8,182.58
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 $469.29 / $1,016.93 / $10,987.79	Professional		$469.29	$1,016.93	$10,987.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,736.64 / $7,802.82 / $9,007.60	Facility		$1,736.64	$7,802.82	$9,007.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $532.13 / $1,107.61 / $10,987.79	Professional		$532.13	$1,107.61	$10,987.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,572.30 / $7,383.38 / $10,208.08	Professional		$5,572.30	$7,383.38	$10,208.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,950.72 / $9,447.23 / $14,511.65	Professional		$6,950.72	$9,447.23	$14,511.65