Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $2,849.00 / $10,268.00	Facility		$119.78	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $119.78 / $235.24	Professional		$77.33	$119.78	$235.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $107.34 / $189.48	Professional		$75.15	$107.34	$189.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $90.17 / $111.61	Facility		$75.14	$90.17	$111.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $126.09 / $126.09	Professional		$114.87	$126.09	$126.09
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 $91.67 / $135.88 / $225.19	Professional		$91.67	$135.88	$225.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $137.56 / $231.11	Professional		$93.18	$137.56	$231.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $157.60 / $210.19	Professional		$117.74	$157.60	$210.19
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 $91.66 / $137.28 / $229.93	Professional		$91.66	$137.28	$229.93