Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.61 / $3,027.00 / $9,534.00	Facility		$258.61	$3,027.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $258.61 / $443.25	Professional		$117.56	$258.61	$443.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $189.98 / $350.88	Professional		$119.75	$189.98	$350.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.92 / $135.50 / $167.71	Facility		$112.92	$135.50	$167.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $266.83 / $266.83	Professional		$197.20	$266.83	$266.83
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 $135.22 / $260.31 / $443.62	Professional		$135.22	$260.31	$443.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $278.97 / $444.72	Professional		$138.25	$278.97	$444.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.80 / $307.49 / $419.54	Professional		$225.80	$307.49	$419.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,725.00 / $2,721.00 / $5,235.00	Facility		$1,725.00	$2,721.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.96 / $312.47 / $554.79	Professional		$206.96	$312.47	$554.79