Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $2,292.00 / $9,504.00	Facility		$269.52	$2,292.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.12 / $292.89 / $512.80	Professional		$196.12	$292.89	$512.80
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 $188.45 / $270.66 / $460.14	Professional		$188.45	$270.66	$460.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.17 / $317.68 / $317.68	Facility		$218.17	$317.68	$317.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.17 / $320.52 / $320.52	Professional		$258.17	$320.52	$320.52
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 $209.61 / $320.83 / $526.84	Professional		$209.61	$320.83	$526.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $344.30 / $523.21	Professional		$217.81	$344.30	$523.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $263.13 / $402.42	Professional		$33.13	$263.13	$402.42
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 $245.27 / $330.64 / $570.00	Professional		$245.27	$330.64	$570.00