Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $2,113.00 / $10,268.00	Facility		$152.19	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.17 / $152.19 / $227.45	Professional		$122.17	$152.19	$227.45
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 $105.44 / $149.44 / $266.48	Professional		$105.44	$149.44	$266.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $195.84 / $195.84	Facility		$134.50	$195.84	$195.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $179.08 / $179.08	Professional		$129.50	$179.08	$179.08
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 $131.91 / $195.36 / $304.54	Professional		$131.91	$195.36	$304.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $201.94 / $295.42	Professional		$138.46	$201.94	$295.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $163.91 / $236.86	Professional		$120.45	$163.91	$236.86
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 $132.63 / $176.84 / $295.00	Professional		$132.63	$176.84	$295.00