Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.36 / $2,816.00 / $9,534.00	Facility		$223.36	$2,816.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.43 / $223.36 / $423.71	Professional		$149.43	$223.36	$423.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,090.00 / $2,150.00 / $3,943.00	Facility		$1,090.00	$2,150.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $230.44 / $492.56	Professional		$133.16	$230.44	$492.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $164.64 / $203.78	Facility		$137.19	$164.64	$203.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $224.18 / $224.18	Professional		$188.84	$224.18	$224.18
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 $154.71 / $232.00 / $393.38	Professional		$154.71	$232.00	$393.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $244.56 / $425.68	Professional		$157.78	$244.56	$425.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $231.07 / $338.02	Professional		$161.18	$231.07	$338.02
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 $207.31 / $283.75 / $451.20	Professional		$207.31	$283.75	$451.20