Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $2,137.96	Professional		$1,778.28	$1,862.09	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $1,737.80	Professional		$38.02	$53.70	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,344.23	Facility		$1,995.26	$1,995.26	$2,344.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $2,951.21	Professional		$2,398.83	$2,511.89	$2,951.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $3,467.37	Professional		$1,819.70	$2,238.72	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87