Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.76 / $3,027.00 / $9,534.00	Facility		$210.76	$3,027.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.52 / $210.76 / $399.81	Professional		$184.52	$210.76	$399.81
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 $158.05 / $228.30 / $412.46	Professional		$158.05	$228.30	$412.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $211.07 / $261.25	Facility		$175.89	$211.07	$261.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.02 / $220.39 / $220.39	Professional		$175.02	$220.39	$220.39
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 $194.20 / $275.48 / $403.16	Professional		$194.20	$275.48	$403.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $198.36 / $275.70 / $411.59	Professional		$198.36	$275.70	$411.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.17 / $217.67 / $294.29	Professional		$158.17	$217.67	$294.29
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 $198.36 / $266.93 / $455.39	Professional		$198.36	$266.93	$455.39