Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,808.71 / $3,080.82 / $13,305.00	Facility		$2,808.71	$3,080.82	$13,305.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,808.71 / $3,080.82 / $8,254.34	Professional		$2,808.71	$3,080.82	$8,254.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,985.35 / $2,985.35 / $3,317.06	Professional		$2,985.35	$2,985.35	$3,317.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,078.80 / $1,807.54	Professional		$930.00	$1,078.80	$1,807.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $59,499.41 / $61,249.39	Facility		$48,999.51	$59,499.41	$61,249.39
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 $2,821.49 / $2,821.49 / $2,821.49	Professional		$2,821.49	$2,821.49	$2,821.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $2,821.49	Professional		$2,821.49	$2,821.49	$2,821.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,075.00	Facility		$3,206.00	$6,392.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,440.71 / $3,671.73 / $5,673.74	Professional		$1,440.71	$3,671.73	$5,673.74