Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.58 / $2,201.13 / $9,534.00	Facility		$344.58	$2,201.13	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.14 / $202.14 / $628.00	Professional		$202.14	$202.14	$628.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.33 / $206.90 / $378.84	Professional		$140.33	$206.90	$378.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.22 / $228.26 / $282.52	Facility		$190.22	$228.26	$282.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.57 / $209.24 / $209.24	Professional		$160.57	$209.24	$209.24
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 $194.49 / $268.86 / $406.26	Professional		$194.49	$268.86	$406.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.04 / $274.11 / $405.00	Professional		$200.04	$274.11	$405.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.15 / $214.30 / $295.10	Professional		$156.15	$214.30	$295.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,468.00 / $4,951.00	Facility		$1,771.00	$2,468.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $256.80 / $431.36	Professional		$173.17	$256.80	$431.36