Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.11 / $6,251.00 / $11,581.00	Facility		$295.11	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $198.46 / $558.65	Professional		$198.46	$198.46	$558.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.29 / $303.67 / $559.99	Professional		$222.29	$303.67	$559.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.45 / $229.74 / $284.35	Facility		$191.45	$229.74	$284.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $210.60 / $238.69	Professional		$210.60	$210.60	$238.69
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 $209.11 / $299.91 / $548.74	Professional		$209.11	$299.91	$548.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $300.36 / $548.74	Professional		$210.60	$300.36	$548.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $211.76 / $278.90 / $370.72	Professional		$211.76	$278.90	$370.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $282.17 / $456.85	Professional		$197.11	$282.17	$456.85