Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.99 / $2,113.00 / $10,268.00	Facility		$37.99	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $37.99 / $72.06	Professional		$31.19	$37.99	$72.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $20.72	Professional		$18.50	$18.50	$20.72
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 $25.07 / $33.26 / $61.19	Professional		$25.07	$33.26	$61.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $39.20 / $39.20	Professional		$39.20	$39.20	$39.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $39.20 / $44.78	Facility		$39.20	$39.20	$44.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $40.51 / $45.71	Professional		$33.32	$40.51	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $54.30 / $21,571.00	Facility		$54.30	$54.30	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $45.71 / $86.01	Professional		$30.15	$45.71	$86.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $45.81 / $73.25	Professional		$30.15	$45.81	$73.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $36.50 / $51.35	Professional		$26.85	$36.50	$51.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $44.53 / $83.64	Professional		$34.85	$44.53	$83.64