Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $4,723.00 / $11,627.00	Facility		$200.86	$4,723.00	$11,627.00
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 $226.89 / $297.24 / $490.44	Professional		$226.89	$297.24	$490.44
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 $166.90 / $256.10 / $392.31	Professional		$166.90	$256.10	$392.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $182.01 / $257.77 / $390.18	Professional		$182.01	$257.77	$390.18
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 $183.77 / $251.47 / $388.74	Professional		$183.77	$251.47	$388.74