Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.61 / $1,866.00 / $9,516.00	Facility		$233.61	$1,866.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $233.61 / $434.53	Professional		$172.22	$233.61	$434.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $221.74 / $431.24	Professional		$141.50	$221.74	$431.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.05 / $190.86 / $236.23	Facility		$159.05	$190.86	$236.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.19 / $235.25 / $235.25	Professional		$215.19	$235.25	$235.25
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 $174.96 / $256.64 / $414.01	Professional		$174.96	$256.64	$414.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $260.91 / $444.01	Professional		$179.45	$260.91	$444.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $214.33 / $295.90	Professional		$156.38	$214.33	$295.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.56 / $278.47 / $465.59	Professional		$203.56	$278.47	$465.59