Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.66 / $2,849.00 / $10,268.00	Facility		$370.66	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.62 / $370.66 / $703.11	Professional		$244.62	$370.66	$703.11
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 $233.00 / $358.00 / $620.49	Professional		$233.00	$358.00	$620.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.58 / $396.90 / $396.90	Facility		$272.58	$396.90	$396.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.61 / $440.78 / $440.78	Professional		$318.61	$440.78	$440.78
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 $280.58 / $420.48 / $701.25	Professional		$280.58	$420.48	$701.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $283.31 / $426.50 / $668.83	Professional		$283.31	$426.50	$668.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $385.81 / $586.80	Professional		$33.45	$385.81	$586.80
United Facility/Professional Facility Modifier Low / Median / High Price $452.48 / $738.00 / $2,816.00	Facility		$452.48	$738.00	$2,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.01 / $445.35 / $740.38	Professional		$334.01	$445.35	$740.38