Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.72 / $3,325.00 / $10,635.00	Facility		$228.72	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $171.12 / $267.77	Professional		$151.52	$171.12	$267.77
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 $237.02 / $345.10 / $556.17	Professional		$237.02	$345.10	$556.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.30 / $247.97 / $247.97	Facility		$170.30	$247.97	$247.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $183.66 / $243.95	Professional		$183.66	$183.66	$243.95
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 $156.94 / $235.00 / $486.85	Professional		$156.94	$235.00	$486.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $163.62 / $251.23 / $506.70	Professional		$163.62	$251.23	$506.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.89 / $229.70 / $311.10	Professional		$174.89	$229.70	$311.10
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 $146.66 / $220.01 / $370.01	Professional		$146.66	$220.01	$370.01