Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $3,272.87 / $10,635.00	Facility		$245.47	$3,272.87	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $166.99 / $351.83	Professional		$165.08	$166.99	$351.83
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 $149.04 / $227.94 / $374.32	Professional		$149.04	$227.94	$374.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.90 / $189.48 / $234.52	Facility		$157.90	$189.48	$234.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $173.69 / $177.57	Professional		$173.69	$173.69	$177.57
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 $179.38 / $252.01 / $364.45	Professional		$179.38	$252.01	$364.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $252.16 / $364.45	Professional		$182.06	$252.16	$364.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $158.78 / $212.44	Professional		$118.76	$158.78	$212.44
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 $156.25 / $222.99 / $382.33	Professional		$156.25	$222.99	$382.33