Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.51 / $2,532.00 / $9,504.00	Facility		$304.51	$2,532.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $278.07 / $517.95	Professional		$146.44	$278.07	$517.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $138.63 / $253.84	Professional		$91.08	$138.63	$253.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.34 / $166.01 / $205.47	Facility		$138.34	$166.01	$205.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.34 / $309.72 / $309.72	Professional		$242.34	$309.72	$309.72
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 $144.25 / $285.89 / $500.58	Professional		$144.25	$285.89	$500.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.35 / $292.02 / $523.12	Professional		$160.35	$292.02	$523.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $271.89 / $414.73	Professional		$36.24	$271.89	$414.73
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 $231.76 / $332.24 / $600.38	Professional		$231.76	$332.24	$600.38