Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.27 / $2,849.00 / $10,268.00	Facility		$204.27	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $204.27 / $404.75	Professional		$132.51	$204.27	$404.75
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 $104.81 / $184.19 / $326.35	Professional		$104.81	$184.19	$326.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.16 / $151.38 / $187.38	Facility		$126.16	$151.38	$187.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $211.38 / $211.38	Professional		$155.50	$211.38	$211.38
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 $145.08 / $225.68 / $380.80	Professional		$145.08	$225.68	$380.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $234.44 / $381.90	Professional		$153.91	$234.44	$381.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.69 / $230.95 / $314.30	Professional		$170.69	$230.95	$314.30
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $3,218.00	Facility		$444.00	$975.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.64 / $259.42 / $444.74	Professional		$180.64	$259.42	$444.74