Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $58.59 / $153.69	Facility		$25.16	$58.59	$153.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $52.62 / $94.21	Professional		$25.16	$52.62	$94.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $61.82 / $61.82	Professional		$61.82	$61.82	$61.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $48.99 / $89.59	Professional		$27.39	$48.99	$89.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $28.93 / $35.79	Facility		$24.11	$28.93	$35.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $56.67 / $62.99	Professional		$56.67	$56.67	$62.99
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 $29.90 / $56.35 / $96.29	Professional		$29.90	$56.35	$96.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $59.24 / $103.71	Professional		$29.90	$59.24	$103.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $78.80 / $105.09	Professional		$58.87	$78.80	$105.09
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $65.73 / $111.08	Professional		$45.18	$65.73	$111.08