Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.33 / $5,462.65 / $10,405.00	Facility		$418.33	$5,462.65	$10,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.69 / $374.98 / $1,045.27	Professional		$300.69	$374.98	$1,045.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.84 / $373.84 / $373.84	Professional		$373.84	$373.84	$373.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $735.93 / $1,437.93	Professional		$328.44	$735.93	$1,437.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.04 / $427.25 / $528.80	Facility		$356.04	$427.25	$528.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.62 / $442.53 / $442.53	Professional		$339.62	$442.53	$442.53
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 $356.04 / $529.71 / $764.13	Professional		$356.04	$529.71	$764.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.92 / $546.47 / $783.46	Professional		$363.92	$546.47	$783.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $422.57 / $631.22	Professional		$75.93	$422.57	$631.22
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 $345.75 / $488.80 / $839.07	Professional		$345.75	$488.80	$839.07