Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.88 / $4,723.00 / $11,627.00	Facility		$144.88	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $145.88 / $321.41	Professional		$144.88	$145.88	$321.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.82 / $173.66 / $327.44	Professional		$138.82	$173.66	$327.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.61 / $126.61 / $184.36	Facility		$126.61	$126.61	$184.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.54 / $136.54 / $175.26	Professional		$136.54	$136.54	$175.26
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 $129.86 / $202.97 / $339.59	Professional		$129.86	$202.97	$339.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $201.38 / $351.57	Professional		$136.55	$201.38	$351.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $196.18 / $258.95	Professional		$149.52	$196.18	$258.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $179.47 / $291.69	Professional		$133.72	$179.47	$291.69