Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.85 / $2,238.00 / $9,504.00	Facility		$316.85	$2,238.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $320.45 / $557.57	Professional		$185.37	$320.45	$557.57
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 $172.69 / $261.57 / $488.74	Professional		$172.69	$261.57	$488.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.36 / $300.50 / $300.50	Facility		$206.36	$300.50	$300.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $383.33 / $383.33	Professional		$279.36	$383.33	$383.33
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 $212.44 / $333.59 / $582.94	Professional		$212.44	$333.59	$582.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.27 / $348.48 / $580.59	Professional		$213.27	$348.48	$580.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $328.61 / $503.06	Professional		$33.18	$328.61	$503.06
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 $223.96 / $363.42 / $622.71	Professional		$223.96	$363.42	$622.71