Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.79 / $2,849.00 / $10,268.00	Facility		$200.79	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $200.79 / $344.35	Professional		$132.29	$200.79	$344.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $193.34 / $337.74	Professional		$130.40	$193.34	$337.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $214.32 / $214.32	Facility		$147.19	$214.32	$214.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.34 / $238.15 / $238.15	Professional		$188.34	$238.15	$238.15
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 $141.41 / $229.25 / $390.28	Professional		$141.41	$229.25	$390.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $240.26 / $378.87	Professional		$151.52	$240.26	$378.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $220.27 / $311.05	Professional		$163.59	$220.27	$311.05
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 $180.27 / $240.36 / $398.36	Professional		$180.27	$240.36	$398.36