Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.77 / $2,849.00 / $10,268.00	Facility		$291.77	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $359.54 / $682.10	Professional		$160.88	$359.54	$682.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,443.00 / $8,800.00	Facility		$1,145.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $369.54 / $828.15	Professional		$136.03	$369.54	$828.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $183.20 / $226.75	Facility		$152.66	$183.20	$226.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $350.10 / $350.10	Professional		$279.36	$350.10	$350.10
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 $174.00 / $334.19 / $656.59	Professional		$174.00	$334.19	$656.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $351.05 / $681.11	Professional		$177.74	$351.05	$681.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.59 / $385.20 / $524.37	Professional		$283.59	$385.20	$524.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $1,963.00 / $4,132.00	Facility		$1,075.00	$1,963.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.69 / $502.55 / $805.92	Professional		$346.69	$502.55	$805.92