Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,989.00 / $11,581.00	Facility		$500.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $160.05 / $287.79	Professional		$160.05	$160.05	$287.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $211.91 / $410.46	Professional		$72.79	$211.91	$410.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.22 / $189.72 / $229.80	Facility		$170.22	$189.72	$229.80
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 $187.60 / $264.33 / $366.85	Professional		$187.60	$264.33	$366.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $261.41 / $366.85	Professional		$196.13	$261.41	$366.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $173.14 / $271.43 / $418.54	Professional		$173.14	$271.43	$418.54