Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.10 / $2,113.00 / $10,268.00	Facility		$158.10	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $155.46 / $376.57	Professional		$140.41	$155.46	$376.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,059.00 / $2,550.00	Facility		$711.00	$2,059.00	$2,550.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $198.66 / $337.21	Professional		$149.15	$198.66	$337.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $231.81 / $231.81	Facility		$159.19	$231.81	$231.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $185.93 / $193.84	Professional		$185.93	$185.93	$193.84
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 $147.83 / $209.60 / $338.30	Professional		$147.83	$209.60	$338.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $225.49 / $338.84	Professional		$152.82	$225.49	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $225.28 / $309.76	Professional		$164.82	$225.28	$309.76
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 $146.63 / $187.99 / $321.11	Professional		$146.63	$187.99	$321.11