Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $6,582.00 / $11,679.00	Facility		$200.86	$6,582.00	$11,679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.86 / $200.86 / $620.33	Professional		$200.86	$200.86	$620.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $303.49 / $500.75	Professional		$231.40	$303.49	$500.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $175.88 / $256.10	Facility		$175.88	$175.88	$256.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.67 / $189.67 / $265.38	Professional		$189.67	$189.67	$265.38
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 $170.87 / $263.85 / $397.13	Professional		$170.87	$263.85	$397.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $182.01 / $263.85 / $402.63	Professional		$182.01	$263.85	$402.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.77 / $234.24 / $311.85	Professional		$179.77	$234.24	$311.85
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 $187.64 / $250.22 / $380.50	Professional		$187.64	$250.22	$380.50