Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.18 / $2,113.00 / $10,268.00	Facility		$160.18	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $388.18 / $762.14	Professional		$89.49	$388.18	$762.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $276.80 / $569.41	Professional		$79.50	$276.80	$569.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $91.23 / $114.11	Facility		$78.37	$91.23	$114.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $361.33 / $452.72	Professional		$361.33	$361.33	$452.72
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 $92.20 / $187.68 / $598.83	Professional		$92.20	$187.68	$598.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $187.68 / $598.83	Professional		$93.73	$187.68	$598.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.45 / $407.17 / $558.26	Professional		$308.45	$407.17	$558.26
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 $392.42 / $543.32 / $821.81	Professional		$392.42	$543.32	$821.81