Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.10 / $1,523.00 / $9,504.00	Facility		$255.10	$1,523.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $248.83 / $439.30	Professional		$163.13	$248.83	$439.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.81 / $235.14 / $416.20	Professional		$145.81	$235.14	$416.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.50 / $264.29 / $264.29	Facility		$181.50	$264.29	$264.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.25 / $301.39 / $301.39	Professional		$220.25	$301.39	$301.39
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 $186.84 / $285.11 / $497.49	Professional		$186.84	$285.11	$497.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $301.39 / $471.18	Professional		$187.68	$301.39	$471.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $238.37 / $388.42	Professional		$31.85	$238.37	$388.42
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 $227.63 / $303.51 / $526.46	Professional		$227.63	$303.51	$526.46