Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.05 / $3,325.00 / $10,635.00	Facility		$203.05	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $138.86 / $293.73	Professional		$132.93	$138.86	$293.73
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 $209.28 / $297.67 / $483.07	Professional		$209.28	$297.67	$483.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.30 / $218.85 / $218.85	Facility		$150.30	$218.85	$218.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.09 / $162.09 / $210.51	Professional		$162.09	$162.09	$210.51
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 $138.51 / $208.03 / $404.17	Professional		$138.51	$208.03	$404.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $223.03 / $425.55	Professional		$144.40	$223.03	$425.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $189.26 / $258.69	Professional		$142.83	$189.26	$258.69
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 $134.16 / $198.08 / $338.04	Professional		$134.16	$198.08	$338.04