Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.10 / $2,547.00 / $10,635.00	Facility		$229.10	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $154.07 / $509.89	Professional		$154.07	$154.07	$509.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $174.54 / $307.10	Professional		$129.01	$174.54	$307.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $177.24 / $219.37	Facility		$147.69	$177.24	$219.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $162.47 / $167.25	Professional		$162.47	$162.47	$167.25
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 $159.29 / $219.50 / $419.23	Professional		$159.29	$219.50	$419.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $227.14 / $429.89	Professional		$162.47	$227.14	$429.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.50 / $197.08 / $264.50	Professional		$146.50	$197.08	$264.50
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 $136.80 / $194.92 / $340.58	Professional		$136.80	$194.92	$340.58