Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $2,547.00 / $10,635.00	Facility		$169.04	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $113.68 / $315.26	Professional		$113.68	$113.68	$315.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $129.27 / $233.45	Professional		$99.44	$129.27	$233.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $129.72 / $202.70	Facility		$108.10	$129.72	$202.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $118.91 / $210.80	Professional		$118.91	$118.91	$210.80
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 $112.23 / $164.61 / $232.73	Professional		$112.23	$164.61	$232.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $165.93 / $227.00	Professional		$115.50	$165.93	$227.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $119.08 / $159.68	Professional		$90.49	$119.08	$159.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $149.00 / $253.30	Professional		$110.88	$149.00	$253.30