Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.01 / $1,902.00 / $9,516.00	Facility		$225.01	$1,902.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $225.01 / $382.51	Professional		$138.54	$225.01	$382.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $192.85 / $358.69	Professional		$129.66	$192.85	$358.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $152.71 / $189.01	Facility		$127.26	$152.71	$189.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $226.20 / $226.20	Professional		$161.44	$226.20	$226.20
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 $142.40 / $224.23 / $390.72	Professional		$142.40	$224.23	$390.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.99 / $236.49 / $393.05	Professional		$147.99	$236.49	$393.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.69 / $230.95 / $314.30	Professional		$170.69	$230.95	$314.30
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.77 / $273.69 / $457.05	Professional		$189.77	$273.69	$457.05