Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.23 / $2,849.00 / $10,268.00	Facility		$341.23	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.11 / $341.23 / $647.14	Professional		$194.11	$341.23	$647.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,090.00 / $2,150.00 / $3,990.00	Facility		$1,090.00	$2,150.00	$3,990.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.27 / $273.36 / $505.53	Professional		$164.27	$273.36	$505.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.31 / $222.37 / $275.23	Facility		$185.31	$222.37	$275.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $336.41 / $336.41	Professional		$269.58	$336.41	$336.41
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 $203.84 / $351.71 / $613.60	Professional		$203.84	$351.71	$613.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $357.84 / $622.82	Professional		$213.11	$357.84	$622.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.01 / $430.16 / $579.24	Professional		$324.01	$430.16	$579.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $383.15 / $696.37	Professional		$286.45	$383.15	$696.37