Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.05 / $469.00 / $11,627.00	Facility		$122.05	$469.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $180.86 / $341.68	Professional		$110.95	$180.86	$341.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,981.00 / $3,943.00	Facility		$1,051.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $155.31 / $286.91	Professional		$95.31	$155.31	$286.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.20 / $132.24 / $163.68	Facility		$110.20	$132.24	$163.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $196.75 / $196.75	Professional		$162.33	$196.75	$196.75
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 $121.22 / $212.59 / $355.00	Professional		$121.22	$212.59	$355.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $218.21 / $358.81	Professional		$132.24	$218.21	$358.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $193.40 / $263.93	Professional		$142.53	$193.40	$263.93
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 $178.13 / $249.15 / $390.89	Professional		$178.13	$249.15	$390.89