Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.79 / $2,849.00 / $10,268.00	Facility		$209.79	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $209.79 / $405.46	Professional		$127.51	$209.79	$405.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $191.49 / $335.26	Professional		$124.11	$191.49	$335.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $146.08 / $180.80	Facility		$121.73	$146.08	$180.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.30 / $217.86 / $217.86	Professional		$161.30	$217.86	$217.86
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 $143.69 / $228.76 / $385.49	Professional		$143.69	$228.76	$385.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $235.69 / $386.67	Professional		$150.16	$235.69	$386.67
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 $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $242.66 / $440.20	Professional		$176.43	$242.66	$440.20