Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.88 / $2,113.00 / $10,268.00	Facility		$269.88	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $456.99 / $803.77	Professional		$138.09	$456.99	$803.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $503.25 / $862.75	Professional		$185.11	$503.25	$862.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.75 / $158.10 / $247.04	Facility		$131.75	$158.10	$247.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.99 / $570.69 / $836.70	Professional		$471.99	$570.69	$836.70
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 $159.62 / $334.31 / $847.02	Professional		$159.62	$334.31	$847.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.72 / $412.04 / $872.88	Professional		$160.72	$412.04	$872.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $399.88 / $542.13 / $737.65	Professional		$399.88	$542.13	$737.65
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 $520.99 / $725.79 / $1,306.07	Professional		$520.99	$725.79	$1,306.07