Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.77 / $496.02 / $11,627.00	Facility		$106.77	$496.02	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $137.44 / $240.29	Professional		$97.06	$137.44	$240.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $158.13 / $263.64	Professional		$102.19	$158.13	$263.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $157.38 / $157.38	Facility		$108.08	$157.38	$157.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.20 / $165.20 / $171.83	Professional		$165.20	$165.20	$171.83
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 $103.85 / $168.20 / $285.50	Professional		$103.85	$168.20	$285.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $175.77 / $286.70	Professional		$111.27	$175.77	$286.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $185.42 / $257.50	Professional		$136.48	$185.42	$257.50
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 $129.63 / $166.72 / $287.27	Professional		$129.63	$166.72	$287.27