Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.84 / $2,040.00 / $10,268.00	Facility		$149.84	$2,040.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $200.85 / $337.19	Professional		$92.99	$200.85	$337.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $226.39 / $426.77	Professional		$110.34	$226.39	$426.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $94.47 / $118.16	Facility		$81.16	$94.47	$118.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $185.41 / $185.41	Professional		$166.03	$185.41	$185.41
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 $91.50 / $181.48 / $388.94	Professional		$91.50	$181.48	$388.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $185.41 / $379.49	Professional		$95.47	$185.41	$379.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.14 / $189.45 / $257.25	Professional		$143.14	$189.45	$257.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,132.00	Facility		$1,020.00	$1,940.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $264.52 / $416.50	Professional		$186.81	$264.52	$416.50