Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.69 / $6,000.00 / $11,627.00	Facility		$525.69	$6,000.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.64 / $717.51 / $2,399.86	Professional		$291.64	$717.51	$2,399.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.83 / $1,014.18 / $2,033.99	Professional		$293.83	$1,014.18	$2,033.99
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $312.56 / $312.56 / $312.56	Professional		$312.56	$312.56	$312.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.13 / $410.83 / $518.63	Facility		$282.13	$410.83	$518.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,266.00 / $1,591.81 / $2,244.27	Professional		$1,266.00	$1,591.81	$2,244.27
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 $292.30 / $633.36 / $2,123.48	Professional		$292.30	$633.36	$2,123.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.92 / $677.75 / $2,109.98	Professional		$331.92	$677.75	$2,109.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,066.82 / $1,413.81 / $1,921.27	Professional		$1,066.82	$1,413.81	$1,921.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.25 / $1,859.88 / $2,817.09	Professional		$1,405.25	$1,859.88	$2,817.09