Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,568.57 / $3,975.62 / $8,472.00	Facility		$3,568.57	$3,975.62	$8,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,963.75 / $2,378.19 / $2,616.01	Professional		$1,963.75	$2,378.19	$2,616.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,093.48 / $1,093.48 / $1,093.48	Professional		$1,093.48	$1,093.48	$1,093.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,155.00 / $5,155.00 / $5,155.00	Facility		$5,155.00	$5,155.00	$5,155.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $127.51 / $272.30	Professional		$101.70	$127.51	$272.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,293.41 / $1,506.78 / $13,975.69	Facility		$1,293.41	$1,506.78	$13,975.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,054.21 / $1,054.21 / $1,629.23	Professional		$1,054.21	$1,054.21	$1,629.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.74 / $4,328.24 / $5,067.43	Facility		$1,736.74	$4,328.24	$5,067.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,514.87 / $1,884.11 / $3,038.08	Professional		$1,514.87	$1,884.11	$3,038.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,736.74 / $4,349.93 / $7,080.01	Facility		$1,736.74	$4,349.93	$7,080.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $702.75 / $913.57 / $1,159.53	Professional		$702.75	$913.57	$1,159.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,560.48 / $2,560.48 / $2,989.62	Facility		$2,560.48	$2,560.48	$2,989.62
United Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $1,098.56 / $2,110.13	Professional		$97.74	$1,098.56	$2,110.13