Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $3,999.00 / $10,268.00	Facility		$215.17	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $230.23 / $421.99	Professional		$123.79	$230.23	$421.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,869.00 / $14,996.00	Facility		$1,760.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $159.02 / $324.17	Professional		$110.15	$159.02	$324.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.79 / $161.75 / $252.74	Facility		$134.79	$161.75	$252.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $270.14 / $478.91	Professional		$270.14	$270.14	$478.91
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 $155.01 / $279.64 / $480.92	Professional		$155.01	$279.64	$480.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.59 / $281.57 / $484.34	Professional		$162.59	$281.57	$484.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.70 / $309.90 / $419.54	Professional		$228.70	$309.90	$419.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.27 / $325.52 / $566.74	Professional		$198.27	$325.52	$566.74