Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $408.80 / $8,553.00	Facility		$77.56	$408.80	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $81.26 / $170.96	Professional		$35.76	$81.26	$170.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $64.36 / $128.22	Professional		$64.36	$64.36	$128.22
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 $38.86 / $55.50 / $95.63	Professional		$38.86	$55.50	$95.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $77.23 / $95.58	Facility		$64.36	$77.23	$95.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $134.33 / $134.33	Professional		$78.48	$134.33	$134.33
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 $58.74 / $93.69 / $170.96	Professional		$58.74	$93.69	$170.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $101.89 / $170.96	Professional		$64.09	$101.89	$170.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $114.99 / $157.15	Professional		$82.38	$114.99	$157.15
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 $69.58 / $107.08 / $178.51	Professional		$69.58	$107.08	$178.51