Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.62 / $2,113.00 / $10,268.00	Facility		$321.62	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.32 / $321.62 / $573.04	Professional		$204.32	$321.62	$573.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $225.33 / $449.19	Professional		$123.33	$225.33	$449.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.34 / $238.01 / $294.58	Facility		$198.34	$238.01	$294.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $338.44 / $338.44	Professional		$252.88	$338.44	$338.44
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 $199.97 / $317.20 / $595.47	Professional		$199.97	$317.20	$595.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $208.26 / $333.02 / $598.66	Professional		$208.26	$333.02	$598.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $314.22 / $465.84	Professional		$36.24	$314.22	$465.84
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 $260.77 / $373.16 / $650.09	Professional		$260.77	$373.16	$650.09