Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.01 / $1,949.00 / $9,504.00	Facility		$301.01	$1,949.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $301.75 / $578.74	Professional		$198.66	$301.75	$578.74
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 $194.47 / $287.37 / $491.89	Professional		$194.47	$287.37	$491.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.40 / $319.45 / $319.45	Facility		$219.40	$319.45	$319.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.98 / $354.59 / $354.59	Professional		$260.98	$354.59	$354.59
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 $225.84 / $354.59 / $588.87	Professional		$225.84	$354.59	$588.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $363.46 / $564.11	Professional		$225.84	$363.46	$564.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $295.30 / $466.57	Professional		$31.85	$295.30	$466.57
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 $274.45 / $365.95 / $617.97	Professional		$274.45	$365.95	$617.97