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 / $788.94	Professional		$256.07	$256.07	$788.94
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 $268.70 / $335.23 / $559.65	Professional		$268.70	$335.23	$559.65
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 $205.66 / $315.76 / $489.71	Professional		$205.66	$315.76	$489.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $318.41 / $486.70	Professional		$230.68	$318.41	$486.70
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 $232.80 / $315.55 / $490.10	Professional		$232.80	$315.55	$490.10