Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $1,810.00 / $9,504.00	Facility		$142.71	$1,810.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $152.46 / $261.67	Professional		$83.95	$152.46	$261.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $190.87 / $326.89	Professional		$129.93	$190.87	$326.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $134.13 / $134.13	Facility		$92.11	$134.13	$134.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $180.05 / $181.88	Professional		$180.05	$180.05	$181.88
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 $95.83 / $171.87 / $295.62	Professional		$95.83	$171.87	$295.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $171.87 / $295.62	Professional		$99.34	$171.87	$295.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $185.37 / $257.50	Professional		$137.47	$185.37	$257.50
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $187.57 / $309.00	Professional		$140.90	$187.57	$309.00