Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.18 / $2,473.00 / $10,268.00	Facility		$233.18	$2,473.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $233.18 / $444.25	Professional		$141.35	$233.18	$444.25
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 $203.27 / $313.06 / $517.58	Professional		$203.27	$313.06	$517.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $159.58 / $197.51	Facility		$132.97	$159.58	$197.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.91 / $238.98 / $238.98	Professional		$208.91	$238.98	$238.98
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 $158.82 / $252.90 / $445.16	Professional		$158.82	$252.90	$445.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $260.70 / $453.63	Professional		$160.00	$260.70	$453.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.87 / $274.08 / $364.42	Professional		$203.87	$274.08	$364.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.86 / $306.74 / $510.46	Professional		$221.86	$306.74	$510.46