Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.58 / $2,306.00 / $10,268.00	Facility		$197.58	$2,306.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $197.58 / $403.41	Professional		$63.30	$197.58	$403.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $209.14 / $402.45	Professional		$74.44	$209.14	$402.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $82.72 / $102.38	Facility		$68.93	$82.72	$102.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.25 / $234.33 / $234.33	Professional		$195.25	$234.33	$234.33
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 $86.17 / $244.99 / $485.90	Professional		$86.17	$244.99	$485.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $249.25 / $489.20	Professional		$86.17	$249.25	$489.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.24 / $269.27 / $366.93	Professional		$198.24	$269.27	$366.93
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $347.33 / $548.01	Professional		$231.23	$347.33	$548.01