Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.99 / $2,113.00 / $10,268.00	Facility		$229.99	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $357.97 / $607.80	Professional		$131.55	$357.97	$607.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $151.88 / $270.75	Professional		$107.06	$151.88	$270.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.44 / $150.53 / $186.32	Facility		$125.44	$150.53	$186.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $375.27 / $375.27	Professional		$274.45	$375.27	$375.27
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 $147.57 / $318.25 / $566.86	Professional		$147.57	$318.25	$566.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $347.66 / $609.27	Professional		$156.80	$347.66	$609.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.90 / $384.04 / $527.87	Professional		$280.90	$384.04	$527.87
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 $260.33 / $391.69 / $730.10	Professional		$260.33	$391.69	$730.10