Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.84 / $4,723.00 / $11,627.00	Facility		$239.84	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.84 / $239.84 / $508.28	Professional		$239.84	$239.84	$508.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.13 / $305.80 / $521.08	Professional		$209.13	$305.80	$521.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.41 / $274.08 / $339.24	Facility		$228.41	$274.08	$339.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.25 / $251.25 / $330.12	Professional		$251.25	$251.25	$330.12
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 $239.31 / $365.28 / $718.71	Professional		$239.31	$365.28	$718.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $251.25 / $369.57 / $690.71	Professional		$251.25	$369.57	$690.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.23 / $280.76 / $370.34	Professional		$212.23	$280.76	$370.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.21 / $312.62 / $539.59	Professional		$225.21	$312.62	$539.59