Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.69 / $5,355.00 / $10,817.74	Facility		$363.69	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $229.26 / $693.97	Professional		$229.26	$229.26	$693.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.45 / $263.95 / $474.04	Professional		$180.45	$263.95	$474.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.42 / $184.42 / $268.52	Facility		$184.42	$184.42	$268.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $198.88 / $266.14	Professional		$198.88	$198.88	$266.14
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 $198.89 / $299.04 / $414.09	Professional		$198.89	$299.04	$414.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $214.21 / $306.68 / $421.51	Professional		$214.21	$306.68	$421.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $195.78 / $262.10	Professional		$148.52	$195.78	$262.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.60 / $272.85 / $441.02	Professional		$209.60	$272.85	$441.02