Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.20 / $2,849.00 / $10,268.00	Facility		$295.20	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $368.40 / $702.20	Professional		$163.50	$368.40	$702.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,990.00	Facility		$937.00	$2,012.00	$3,990.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $361.93 / $1,080.08	Professional		$138.97	$361.93	$1,080.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.76 / $186.91 / $231.34	Facility		$155.76	$186.91	$231.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.78 / $361.93 / $361.93	Professional		$210.78	$361.93	$361.93
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 $172.30 / $345.49 / $647.03	Professional		$172.30	$345.49	$647.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $361.94 / $672.16	Professional		$179.91	$361.94	$672.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $389.80 / $524.37	Professional		$288.08	$389.80	$524.37
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 $300.38 / $473.18 / $820.85	Professional		$300.38	$473.18	$820.85