Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.89 / $2,485.00 / $10,457.18	Facility		$265.89	$2,485.00	$10,457.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $276.30 / $530.83	Professional		$177.74	$276.30	$530.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.01 / $238.13 / $419.73	Professional		$158.01	$238.13	$419.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.18 / $204.22 / $252.76	Facility		$170.18	$204.22	$252.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.26 / $276.98 / $276.98	Professional		$215.26	$276.98	$276.98
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 $193.83 / $301.64 / $515.40	Professional		$193.83	$301.64	$515.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.21 / $321.12 / $518.30	Professional		$204.21	$321.12	$518.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $246.48 / $376.02	Professional		$33.13	$246.48	$376.02
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 $242.71 / $351.92 / $598.26	Professional		$242.71	$351.92	$598.26