Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.17 / $2,040.00 / $9,516.00	Facility		$257.17	$2,040.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $257.17 / $440.13	Professional		$120.45	$257.17	$440.13
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 $86.55 / $123.88 / $218.87	Professional		$86.55	$123.88	$218.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.71 / $137.65 / $170.37	Facility		$114.71	$137.65	$170.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.37 / $262.32 / $262.32	Professional		$201.37	$262.32	$262.32
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 $131.56 / $246.24 / $428.09	Professional		$131.56	$246.24	$428.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.65 / $262.32 / $444.65	Professional		$137.65	$262.32	$444.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $212.06 / $328.59	Professional		$33.13	$212.06	$328.59
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $287.82 / $534.37	Professional		$174.61	$287.82	$534.37