Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.17 / $2,113.00 / $10,268.00	Facility		$209.17	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $210.09 / $360.58	Professional		$144.49	$210.09	$360.58
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 $145.13 / $205.63 / $358.84	Professional		$145.13	$205.63	$358.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.27 / $234.83 / $234.83	Facility		$161.27	$234.83	$234.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.56 / $248.47 / $248.47	Professional		$218.56	$248.47	$248.47
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 $154.94 / $247.67 / $406.09	Professional		$154.94	$247.67	$406.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $259.76 / $401.18	Professional		$166.01	$259.76	$401.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $237.48 / $343.42	Professional		$177.00	$237.48	$343.42
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 $167.67 / $251.54 / $411.97	Professional		$167.67	$251.54	$411.97