Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.92 / $2,306.00 / $10,268.00	Facility		$376.92	$2,306.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $217.71 / $411.11	Professional		$214.67	$217.71	$411.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,392.00 / $14,996.00	Facility		$1,712.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.49 / $240.22 / $419.22	Professional		$176.49	$240.22	$419.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.60 / $238.32 / $372.38	Facility		$198.60	$238.32	$372.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $218.46 / $387.27	Professional		$218.46	$218.46	$387.27
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 $198.17 / $281.58 / $426.14	Professional		$198.17	$281.58	$426.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $299.52 / $411.73	Professional		$202.19	$299.52	$411.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $218.75 / $291.00	Professional		$160.07	$218.75	$291.00
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 $195.80 / $273.38 / $438.75	Professional		$195.80	$273.38	$438.75