Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.63 / $2,936.00 / $9,504.00	Facility		$230.63	$2,936.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $224.15 / $387.92	Professional		$155.10	$224.15	$387.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $200.96 / $377.14	Professional		$129.93	$200.96	$377.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.36 / $250.98 / $250.98	Facility		$172.36	$250.98	$250.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $265.94 / $265.94	Professional		$193.28	$265.94	$265.94
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 $176.39 / $261.92 / $436.76	Professional		$176.39	$261.92	$436.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $176.39 / $268.49 / $417.86	Professional		$176.39	$268.49	$417.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $229.01 / $353.85	Professional		$33.18	$229.01	$353.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,138.00 / $6,522.00	Facility		$2,233.00	$4,138.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.59 / $263.45 / $457.92	Professional		$197.59	$263.45	$457.92