Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.86 / $8,545.00 / $13,772.87	Facility		$1,240.86	$8,545.00	$13,772.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.06 / $1,181.69 / $2,295.85	Professional		$1,128.06	$1,181.69	$2,295.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,313.14 / $1,313.14 / $1,313.14	Professional		$1,313.14	$1,313.14	$1,313.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.15 / $1,243.22 / $2,252.81	Professional		$873.15	$1,243.22	$2,252.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,094.29 / $1,313.15 / $1,625.31	Facility		$1,094.29	$1,313.15	$1,625.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,112.48 / $1,203.72 / $1,203.72	Professional		$1,112.48	$1,203.72	$1,203.72
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 $924.80 / $1,532.00 / $2,306.52	Professional		$924.80	$1,532.00	$2,306.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,094.29 / $1,624.84 / $2,306.52	Professional		$1,094.29	$1,624.84	$2,306.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $923.90 / $1,498.95	Professional		$118.34	$923.90	$1,498.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.07 / $1,477.29 / $2,441.04	Professional		$1,076.07	$1,477.29	$2,441.04