Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.72 / $2,113.00 / $10,268.00	Facility		$188.72	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $188.72 / $373.31	Professional		$166.23	$188.72	$373.31
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 $143.80 / $208.63 / $379.48	Professional		$143.80	$208.63	$379.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $189.76 / $234.86	Facility		$158.13	$189.76	$234.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $196.63 / $196.63	Professional		$154.76	$196.63	$196.63
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 $178.56 / $247.71 / $369.58	Professional		$178.56	$247.71	$369.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $178.75 / $250.26 / $371.15	Professional		$178.75	$250.26	$371.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $193.52 / $286.19	Professional		$131.35	$193.52	$286.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.24 / $3,724.00 / $6,238.00	Facility		$1,519.24	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.31 / $236.87 / $409.94	Professional		$176.31	$236.87	$409.94