Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.86 / $3,602.00 / $9,496.00	Facility		$296.86	$3,602.00	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.25 / $296.86 / $531.37	Professional		$155.25	$296.86	$531.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.83 / $338.83 / $338.83	Professional		$338.83	$338.83	$338.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $276.64 / $505.14	Professional		$163.77	$276.64	$505.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $182.18 / $225.50	Facility		$151.82	$182.18	$225.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.62 / $310.60 / $310.60	Professional		$269.62	$310.60	$310.60
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 $175.59 / $302.57 / $554.84	Professional		$175.59	$302.57	$554.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $317.67 / $558.10	Professional		$179.58	$317.67	$558.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $258.94 / $347.78 / $472.33	Professional		$258.94	$347.78	$472.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.44 / $371.87 / $632.46	Professional		$260.44	$371.87	$632.46