Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.20 / $2,113.00 / $10,268.00	Facility		$317.20	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.32 / $317.20 / $751.53	Professional		$248.32	$317.20	$751.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $353.43 / $353.43 / $353.43	Professional		$353.43	$353.43	$353.43
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 $254.27 / $334.60 / $561.57	Professional		$254.27	$334.60	$561.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $353.42 / $437.44	Facility		$294.52	$353.42	$437.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $364.33 / $411.17 / $411.17	Professional		$364.33	$411.17	$411.17
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 $315.26 / $467.24 / $716.64	Professional		$315.26	$467.24	$716.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.59 / $482.19 / $716.64	Professional		$331.59	$482.19	$716.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $362.20 / $476.11 / $634.26	Professional		$362.20	$476.11	$634.26
United Facility/Professional Facility Modifier Low / Median / High Price $225.60 / $796.00 / $3,218.00	Facility		$225.60	$796.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.77 / $501.21 / $842.01	Professional		$356.77	$501.21	$842.01