Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.99 / $2,547.00 / $10,635.00	Facility		$219.99	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $147.94 / $396.98	Professional		$147.94	$147.94	$396.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $180.38 / $293.62	Professional		$118.18	$180.38	$293.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.12 / $168.14 / $208.12	Facility		$140.12	$168.14	$208.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $154.13 / $164.22	Professional		$154.13	$154.13	$164.22
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 $141.97 / $213.00 / $307.42	Professional		$141.97	$213.00	$307.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $213.89 / $307.42	Professional		$147.13	$213.89	$307.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $157.60 / $210.19	Professional		$117.74	$157.60	$210.19
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 $142.09 / $195.19 / $349.86	Professional		$142.09	$195.19	$349.86