Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.12 / $2,113.00 / $10,268.00	Facility		$258.12	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $462.25 / $852.77	Professional		$159.06	$462.25	$852.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $417.63 / $831.42	Professional		$144.10	$417.63	$831.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $203.63 / $257.07	Facility		$139.85	$203.63	$257.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $424.71 / $667.13 / $752.90	Professional		$424.71	$667.13	$752.90
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 $150.81 / $310.99 / $871.62	Professional		$150.81	$310.99	$871.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $332.51 / $833.52	Professional		$164.52	$332.51	$833.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $369.94 / $488.87 / $660.61	Professional		$369.94	$488.87	$660.61
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 $521.24 / $761.10 / $1,092.80	Professional		$521.24	$761.10	$1,092.80