Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.07 / $4,723.00 / $11,627.00	Facility		$256.07	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.07 / $256.07 / $645.72	Professional		$256.07	$256.07	$645.72
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 $280.01 / $350.02 / $585.14	Professional		$280.01	$350.02	$585.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.16 / $223.16 / $324.97	Facility		$223.16	$223.16	$324.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $240.67 / $336.02	Professional		$240.67	$240.67	$336.02
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 $214.54 / $334.22 / $506.19	Professional		$214.54	$334.22	$506.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $334.22 / $511.62	Professional		$230.68	$334.22	$511.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.77 / $235.16 / $311.85	Professional		$179.77	$235.16	$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 $238.11 / $323.06 / $492.68	Professional		$238.11	$323.06	$492.68