Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.85 / $1,949.00 / $9,504.00	Facility		$324.85	$1,949.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.09 / $326.32 / $573.48	Professional		$191.09	$326.32	$573.48
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 $190.44 / $288.88 / $505.25	Professional		$190.44	$288.88	$505.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.61 / $308.12 / $308.12	Facility		$211.61	$308.12	$308.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.54 / $382.82 / $382.82	Professional		$283.54	$382.82	$382.82
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 $217.83 / $344.19 / $609.03	Professional		$217.83	$344.19	$609.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $220.81 / $358.93 / $587.75	Professional		$220.81	$358.93	$587.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $336.53 / $518.12	Professional		$33.18	$336.53	$518.12
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 $272.08 / $386.88 / $640.64	Professional		$272.08	$386.88	$640.64