Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $2,936.00 / $9,516.00	Facility		$288.57	$2,936.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.60 / $288.57 / $494.89	Professional		$205.60	$288.57	$494.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.64 / $277.80 / $484.61	Professional		$191.64	$277.80	$484.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.59 / $331.40 / $331.40	Facility		$227.59	$331.40	$331.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.57 / $341.72 / $341.72	Professional		$261.57	$341.72	$341.72
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 $210.91 / $328.00 / $560.47	Professional		$210.91	$328.00	$560.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.28 / $353.01 / $551.29	Professional		$234.28	$353.01	$551.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $288.66 / $475.22	Professional		$31.89	$288.66	$475.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $348.26 / $579.25	Professional		$261.20	$348.26	$579.25