Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.35 / $3,027.00 / $10,268.00	Facility		$362.35	$3,027.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.62 / $233.68 / $415.38	Professional		$218.62	$233.68	$415.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $251.07 / $446.88	Professional		$176.44	$251.07	$446.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.87 / $243.44 / $380.39	Facility		$202.87	$243.44	$380.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.16 / $223.16 / $395.60	Professional		$223.16	$223.16	$395.60
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 $201.90 / $302.01 / $437.57	Professional		$201.90	$302.01	$437.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $206.14 / $306.13 / $466.61	Professional		$206.14	$306.13	$466.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $217.11 / $294.29	Professional		$157.62	$217.11	$294.29
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 $198.09 / $283.25 / $473.26	Professional		$198.09	$283.25	$473.26