Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.11 / $4,723.00 / $11,627.00	Facility		$313.11	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $313.11 / $610.57	Professional		$270.76	$313.11	$610.57
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 $247.34 / $348.00 / $580.66	Professional		$247.34	$348.00	$580.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $273.47 / $273.47 / $398.21	Facility		$273.47	$273.47	$398.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.92 / $294.92 / $360.37	Professional		$294.92	$294.92	$360.37
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 $268.11 / $418.25 / $582.96	Professional		$268.11	$418.25	$582.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $418.25 / $582.96	Professional		$284.77	$418.25	$582.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $311.90 / $415.17	Professional		$237.56	$311.90	$415.17
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 $285.18 / $373.98 / $613.15	Professional		$285.18	$373.98	$613.15