Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.33 / $2,849.00 / $10,268.00	Facility		$280.33	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.04 / $280.33 / $572.21	Professional		$194.04	$280.33	$572.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,150.00 / $3,943.00	Facility		$1,051.00	$2,150.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $260.10 / $446.88	Professional		$166.47	$260.10	$446.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.02 / $226.82 / $280.75	Facility		$189.02	$226.82	$280.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $235.46 / $297.39 / $297.39	Professional		$235.46	$297.39	$297.39
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 $210.26 / $328.87 / $556.69	Professional		$210.26	$328.87	$556.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $226.82 / $339.51 / $556.69	Professional		$226.82	$339.51	$556.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.98 / $258.16 / $409.49	Professional		$32.98	$258.16	$409.49
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 $263.60 / $365.23 / $630.76	Professional		$263.60	$365.23	$630.76