Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.80 / $2,040.00 / $9,534.00	Facility		$206.80	$2,040.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $206.80 / $406.35	Professional		$119.26	$206.80	$406.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $119.57 / $119.57	Professional		$119.57	$119.57	$119.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $156.85 / $292.76	Professional		$99.14	$156.85	$292.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.87 / $136.63 / $169.13	Facility		$113.87	$136.63	$169.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $213.75 / $213.75	Professional		$159.43	$213.75	$213.75
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 $125.26 / $227.35 / $381.15	Professional		$125.26	$227.35	$381.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $235.22 / $382.90	Professional		$138.91	$235.22	$382.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.73 / $211.55 / $296.47	Professional		$152.73	$211.55	$296.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $265.64 / $443.64	Professional		$177.90	$265.64	$443.64