Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.97 / $2,849.00 / $10,268.00	Facility		$273.97	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.24 / $273.97 / $523.89	Professional		$193.24	$273.97	$523.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,009.00 / $3,943.00	Facility		$1,051.00	$2,009.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $279.86 / $472.69	Professional		$184.31	$279.86	$472.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.97 / $225.56 / $279.18	Facility		$187.97	$225.56	$279.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $290.39 / $294.98	Professional		$290.39	$290.39	$294.98
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 $212.78 / $327.35 / $569.97	Professional		$212.78	$327.35	$569.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $341.81 / $558.58	Professional		$225.56	$341.81	$558.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $259.65 / $410.89	Professional		$36.09	$259.65	$410.89
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 $275.61 / $367.68 / $632.75	Professional		$275.61	$367.68	$632.75