Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.53 / $5,135.00 / $11,627.00	Facility		$217.53	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $217.53 / $428.53	Professional		$201.74	$217.53	$428.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $247.48 / $449.79	Professional		$182.92	$247.48	$449.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.17 / $232.43 / $290.39	Facility		$183.17	$232.43	$290.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $227.72 / $351.93	Professional		$161.62	$227.72	$351.93
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 $198.33 / $285.77 / $408.59	Professional		$198.33	$285.77	$408.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $207.02 / $289.83 / $434.75	Professional		$207.02	$289.83	$434.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $142.52 / $165.32	Professional		$114.02	$142.52	$165.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $244.15 / $457.21	Professional		$181.45	$244.15	$457.21