Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.49 / $4,723.00 / $11,627.00	Facility		$227.49	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.49 / $227.49 / $703.17	Professional		$227.49	$227.49	$703.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.33 / $259.99 / $443.02	Professional		$212.33	$259.99	$443.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.68 / $197.68 / $287.83	Facility		$197.68	$197.68	$287.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $213.18 / $294.83	Professional		$213.18	$213.18	$294.83
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 $189.47 / $282.43 / $436.85	Professional		$189.47	$282.43	$436.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $207.55 / $297.48 / $431.87	Professional		$207.55	$297.48	$431.87
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 $207.08 / $277.43 / $440.96	Professional		$207.08	$277.43	$440.96