Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.70 / $2,816.00 / $9,534.00	Facility		$227.70	$2,816.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $227.70 / $449.51	Professional		$188.66	$227.70	$449.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.36 / $233.83 / $429.41	Professional		$148.36	$233.83	$429.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.87 / $215.84 / $267.14	Facility		$179.87	$215.84	$267.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $237.08 / $237.08	Professional		$227.21	$237.08	$237.08
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 $190.99 / $279.31 / $415.61	Professional		$190.99	$279.31	$415.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $280.56 / $446.05	Professional		$197.86	$280.56	$446.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $236.41 / $315.28	Professional		$176.62	$236.41	$315.28
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 $211.98 / $279.33 / $490.07	Professional		$211.98	$279.33	$490.07