Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.89 / $2,547.00 / $10,635.00	Facility		$193.89	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $128.46 / $340.72	Professional		$123.71	$128.46	$340.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $162.68 / $309.50	Professional		$113.90	$162.68	$309.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $141.97 / $221.85	Facility		$118.32	$141.97	$221.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $138.44 / $230.73	Professional		$130.15	$138.44	$230.73
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 $124.23 / $183.39 / $280.85	Professional		$124.23	$183.39	$280.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $186.68 / $280.85	Professional		$130.15	$186.68	$280.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $119.08 / $159.68	Professional		$90.49	$119.08	$159.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $159.72 / $264.52	Professional		$119.79	$159.72	$264.52