Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.42 / $2,292.00 / $9,534.00	Facility		$168.42	$2,292.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.47 / $168.42 / $291.38	Professional		$106.47	$168.42	$291.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $149.54 / $266.83	Professional		$81.08	$149.54	$266.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $171.11 / $171.11	Facility		$117.52	$171.11	$171.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $198.36 / $198.36	Professional		$145.44	$198.36	$198.36
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 $108.30 / $181.07 / $327.69	Professional		$108.30	$181.07	$327.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $191.87 / $315.58	Professional		$120.97	$191.87	$315.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $182.91 / $270.75	Professional		$123.94	$182.91	$270.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,448.00 / $3,756.00	Facility		$1,106.00	$1,448.00	$3,756.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $203.55 / $335.44	Professional		$136.18	$203.55	$335.44