Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.35 / $8,553.00 / $11,627.00	Facility		$363.35	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.35 / $363.35 / $872.04	Professional		$363.35	$363.35	$872.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,333.90 / $1,767.77 / $2,774.47	Professional		$1,333.90	$1,767.77	$2,774.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.03 / $243.05 / $305.67	Facility		$162.03	$243.05	$305.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $210.64 / $468.57	Professional		$170.13	$210.64	$468.57
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 $302.97 / $432.38 / $633.69	Professional		$302.97	$432.38	$633.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $433.44 / $612.27	Professional		$306.16	$433.44	$612.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $150.02 / $174.02	Professional		$120.02	$150.02	$174.02
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 $209.72 / $299.05 / $430.13	Professional		$209.72	$299.05	$430.13