Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.64 / $1,495.78 / $9,504.00	Facility		$201.64	$1,495.78	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $204.61 / $345.81	Professional		$133.96	$204.61	$345.81
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 $121.82 / $192.37 / $338.31	Professional		$121.82	$192.37	$338.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $216.63 / $216.63	Facility		$148.76	$216.63	$216.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.30 / $238.56 / $238.56	Professional		$184.30	$238.56	$238.56
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 $142.93 / $232.41 / $391.98	Professional		$142.93	$232.41	$391.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $242.89 / $379.52	Professional		$153.13	$242.89	$379.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $235.19 / $342.00	Professional		$175.55	$235.19	$342.00
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 $189.91 / $252.87 / $470.42	Professional		$189.91	$252.87	$470.42