Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $3,999.00 / $10,268.00	Facility		$265.58	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.14 / $265.58 / $475.38	Professional		$206.14	$265.58	$475.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.64 / $242.66 / $415.90	Professional		$171.64	$242.66	$415.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.02 / $240.02 / $297.08	Facility		$200.02	$240.02	$297.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.30 / $280.95 / $280.95	Professional		$205.30	$280.95	$280.95
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 $204.43 / $309.24 / $499.29	Professional		$204.43	$309.24	$499.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $311.61 / $504.71	Professional		$213.00	$311.61	$504.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $281.54 / $411.50	Professional		$194.72	$281.54	$411.50
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 $211.11 / $313.98 / $544.33	Professional		$211.11	$313.98	$544.33