Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $2,849.00 / $10,268.00	Facility		$164.60	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $164.60 / $285.08	Professional		$113.49	$164.60	$285.08
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 $78.06 / $159.28 / $342.78	Professional		$78.06	$159.28	$342.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.26 / $126.31 / $156.33	Facility		$105.26	$126.31	$156.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $165.70 / $165.70	Professional		$91.98	$165.70	$165.70
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 $116.39 / $183.78 / $305.88	Professional		$116.39	$183.78	$305.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $190.95 / $311.41	Professional		$126.31	$190.95	$311.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $172.81 / $246.06	Professional		$124.79	$172.81	$246.06
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 $139.40 / $198.79 / $320.52	Professional		$139.40	$198.79	$320.52