Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.12 / $2,849.00 / $10,268.00	Facility		$245.12	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $293.51 / $485.84	Professional		$147.10	$293.51	$485.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $254.72 / $429.55	Professional		$162.41	$254.72	$429.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $168.88 / $209.02	Facility		$140.72	$168.88	$209.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.67 / $303.91 / $303.91	Professional		$224.67	$303.91	$303.91
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 $168.87 / $298.85 / $508.39	Professional		$168.87	$298.85	$508.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $172.45 / $310.92 / $526.82	Professional		$172.45	$310.92	$526.82
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 $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.27 / $365.33 / $661.56	Professional		$254.27	$365.33	$661.56