Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.05 / $3,696.00 / $11,581.00	Facility		$290.05	$3,696.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.06 / $195.06 / $606.14	Professional		$195.06	$195.06	$606.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $50.00	Professional		$0.02	$0.02	$50.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.22 / $189.72 / $229.80	Facility		$170.22	$189.72	$229.80
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 $168.00 / $228.00 / $921.67	Professional		$168.00	$228.00	$921.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $237.90 / $921.67	Professional		$174.00	$237.90	$921.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
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 $518.26 / $781.75 / $1,291.19	Professional		$518.26	$781.75	$1,291.19