Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.77 / $2,113.00 / $10,268.00	Facility		$181.77	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $181.77 / $311.31	Professional		$145.13	$181.77	$311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $165.85 / $290.83	Professional		$117.10	$165.85	$290.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.60 / $124.60 / $124.60	Facility		$124.60	$124.60	$124.60
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 $148.60 / $214.13 / $340.82	Professional		$148.60	$214.13	$340.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $218.22 / $340.05	Professional		$154.53	$218.22	$340.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $233.74 / $313.34	Professional		$168.94	$233.74	$313.34
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 $156.12 / $221.86 / $361.73	Professional		$156.12	$221.86	$361.73