Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.82 / $3,325.00 / $10,635.00	Facility		$284.82	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $191.54 / $520.42	Professional		$191.54	$191.54	$520.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,392.00 / $14,996.00	Facility		$1,712.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.49 / $237.61 / $383.69	Professional		$163.49	$237.61	$383.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.03 / $220.84 / $273.33	Facility		$184.03	$220.84	$273.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $202.43 / $231.28	Professional		$202.43	$202.43	$231.28
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 $199.34 / $276.42 / $400.19	Professional		$199.34	$276.42	$400.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $282.48 / $400.19	Professional		$202.43	$282.48	$400.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $197.08 / $264.50	Professional		$150.31	$197.08	$264.50
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 $173.93 / $240.36 / $411.05	Professional		$173.93	$240.36	$411.05