Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.83 / $2,547.00 / $10,635.00	Facility		$291.83	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $196.26 / $998.00	Professional		$196.26	$196.26	$998.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.58 / $228.26 / $368.25	Professional		$160.58	$228.26	$368.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.13 / $228.16 / $282.39	Facility		$190.13	$228.16	$282.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.88 / $209.14 / $209.14	Professional		$205.88	$209.14	$209.14
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 $195.49 / $266.18 / $400.64	Professional		$195.49	$266.18	$400.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.63 / $269.70 / $399.26	Professional		$199.63	$269.70	$399.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $203.66 / $315.61	Professional		$133.96	$203.66	$315.61
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 $174.55 / $237.69 / $415.12	Professional		$174.55	$237.69	$415.12