Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.52 / $2,785.00 / $9,516.00	Facility		$172.52	$2,785.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $180.82 / $306.57	Professional		$109.20	$180.82	$306.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,981.00 / $3,943.00	Facility		$1,051.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $156.60 / $277.63	Professional		$88.14	$156.60	$277.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $176.01 / $176.01	Facility		$120.88	$176.01	$176.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $203.60 / $203.60	Professional		$148.88	$203.60	$203.60
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 $111.39 / $185.98 / $334.58	Professional		$111.39	$185.98	$334.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $198.95 / $323.92	Professional		$123.01	$198.95	$323.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $182.91 / $277.00	Professional		$119.79	$182.91	$277.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $208.24 / $344.19	Professional		$156.18	$208.24	$344.19