Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $3,999.00 / $10,268.00	Facility		$158.90	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $161.06 / $295.25	Professional		$118.23	$161.06	$295.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $169.44 / $285.67	Professional		$118.57	$169.44	$285.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.75 / $191.86 / $191.86	Facility		$131.75	$191.86	$191.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $189.41 / $189.41	Professional		$156.75	$189.41	$189.41
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 $135.63 / $200.21 / $310.93	Professional		$135.63	$200.21	$310.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $206.63 / $301.33	Professional		$140.28	$206.63	$301.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $185.37 / $257.50	Professional		$136.48	$185.37	$257.50
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 $147.52 / $196.69 / $329.46	Professional		$147.52	$196.69	$329.46