Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,036.69 / $3,028.56 / $7,226.96	Facility		$2,036.69	$3,028.56	$7,226.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,036.69 / $3,108.54 / $7,226.96	Professional		$2,036.69	$3,108.54	$7,226.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,626.87 / $2,626.87 / $2,626.87	Professional		$2,626.87	$2,626.87	$2,626.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,926.69 / $2,958.83 / $5,141.68	Professional		$1,926.69	$2,958.83	$5,141.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,249.19 / $3,572.87 / $3,572.87	Facility		$2,249.19	$3,572.87	$3,572.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,363.44 / $2,646.12 / $2,646.12	Professional		$2,363.44	$2,646.12	$2,646.12
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 $1,600.00 / $3,127.23 / $4,565.88	Professional		$1,600.00	$3,127.23	$4,565.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,791.38 / $3,247.51 / $4,570.57	Professional		$1,791.38	$3,247.51	$4,570.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,225.18 / $3,050.42 / $4,073.85	Professional		$2,225.18	$3,050.42	$4,073.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,884.56 / $2,570.08 / $4,470.79	Professional		$1,884.56	$2,570.08	$4,470.79