Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $2,113.00 / $10,268.00	Facility		$149.11	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $149.11 / $296.66	Professional		$97.25	$149.11	$296.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $133.62 / $212.71	Professional		$85.86	$133.62	$212.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $124.01 / $156.54	Facility		$85.16	$124.01	$156.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $159.16 / $249.56	Professional		$140.78	$159.16	$249.56
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 $96.38 / $152.56 / $241.68	Professional		$96.38	$152.56	$241.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $153.58 / $235.21	Professional		$100.19	$153.58	$235.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $152.37 / $205.16	Professional		$115.59	$152.37	$205.16
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $192.72 / $306.06	Professional		$146.40	$192.72	$306.06