Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.62 / $2,040.00 / $10,268.00	Facility		$178.62	$2,040.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $193.90 / $306.70	Professional		$118.30	$193.90	$306.70
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 $118.30 / $170.78 / $299.87	Professional		$118.30	$170.78	$299.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $191.40 / $191.40	Facility		$131.44	$191.40	$191.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $211.45 / $211.45	Professional		$177.75	$211.45	$211.45
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 $126.29 / $203.86 / $346.00	Professional		$126.29	$203.86	$346.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $215.29 / $336.40	Professional		$135.31	$215.29	$336.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $200.82 / $289.48	Professional		$148.34	$200.82	$289.48
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 $160.24 / $213.65 / $355.16	Professional		$160.24	$213.65	$355.16