Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.58 / $1,967.00 / $9,534.00	Facility		$245.58	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $245.58 / $500.78	Professional		$159.60	$245.58	$500.78
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 $122.67 / $196.17 / $378.32	Professional		$122.67	$196.17	$378.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.90 / $181.08 / $224.13	Facility		$150.90	$181.08	$224.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.59 / $252.22 / $252.22	Professional		$200.59	$252.22	$252.22
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 $165.84 / $275.14 / $470.71	Professional		$165.84	$275.14	$470.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.54 / $287.93 / $470.71	Professional		$173.54	$287.93	$470.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $212.06 / $328.59	Professional		$33.13	$212.06	$328.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,468.00 / $4,951.00	Facility		$1,771.00	$2,468.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.61 / $325.04 / $544.73	Professional		$227.61	$325.04	$544.73