Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.39 / $5,355.00 / $10,817.74	Facility		$224.39	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $149.06 / $451.62	Professional		$149.06	$149.06	$451.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $179.27 / $305.47	Professional		$123.69	$179.27	$305.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $130.19 / $189.58	Facility		$130.19	$130.19	$189.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $140.40 / $188.58	Professional		$140.40	$140.40	$188.58
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 $139.08 / $201.15 / $281.20	Professional		$139.08	$201.15	$281.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $206.85 / $281.52	Professional		$140.41	$206.85	$281.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $196.18 / $258.95	Professional		$149.52	$196.18	$258.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.96 / $183.47 / $282.94	Professional		$138.96	$183.47	$282.94