Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,251.00 / $11,581.00	Facility		$1,000.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.89 / $767.22 / $1,447.13	Professional		$584.89	$767.22	$1,447.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $531.27 / $531.27 / $531.27	Professional		$531.27	$531.27	$531.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.53 / $800.65 / $1,510.79	Professional		$643.53	$800.65	$1,510.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $704.12 / $863.22 / $1,994.14	Facility		$704.12	$863.22	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.79 / $677.04 / $1,056.18	Professional		$595.79	$677.04	$1,056.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,058.71 / $1,058.71	Professional		$1,058.71	$1,058.71	$1,058.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,373.71 / $1,373.71 / $1,373.71	Professional		$1,373.71	$1,373.71	$1,373.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $413.58 / $719.29	Professional		$75.13	$413.58	$719.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.89 / $842.86 / $1,420.45	Professional		$584.89	$842.86	$1,420.45