Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.87 / $1,866.00 / $9,504.00	Facility		$195.87	$1,866.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $178.14 / $354.32	Professional		$153.32	$178.14	$354.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.34 / $192.21 / $337.24	Professional		$149.34	$192.21	$337.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.32 / $175.58 / $217.33	Facility		$146.32	$175.58	$217.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $186.56 / $186.56	Professional		$135.53	$186.56	$186.56
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 $159.41 / $235.55 / $376.51	Professional		$159.41	$235.55	$376.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $171.19 / $237.44 / $374.76	Professional		$171.19	$237.44	$374.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $193.52 / $286.19	Professional		$129.01	$193.52	$286.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.18 / $233.14 / $393.72	Professional		$166.18	$233.14	$393.72