Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.49 / $2,113.00 / $10,268.00	Facility		$156.49	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $159.21 / $288.27	Professional		$86.37	$159.21	$288.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.29 / $243.26	Professional		$69.18	$125.29	$243.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $98.48 / $121.90	Facility		$82.07	$98.48	$121.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $168.40 / $168.40	Professional		$126.57	$168.40	$168.40
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 $94.94 / $167.92 / $297.94	Professional		$94.94	$167.92	$297.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $168.39 / $299.95	Professional		$98.48	$168.39	$299.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $195.97 / $260.38	Professional		$145.00	$195.97	$260.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $169.89 / $317.24	Professional		$125.97	$169.89	$317.24