Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.86 / $3,325.00 / $10,635.00	Facility		$261.86	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.33 / $176.10 / $407.42	Professional		$175.33	$176.10	$407.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $191.86 / $320.16	Professional		$140.11	$191.86	$320.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.24 / $205.49 / $254.34	Facility		$171.24	$205.49	$254.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.52 / $188.36 / $188.36	Professional		$178.52	$188.36	$188.36
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 $172.52 / $236.99 / $352.73	Professional		$172.52	$236.99	$352.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $175.34 / $239.73 / $355.88	Professional		$175.34	$239.73	$355.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $174.84 / $240.06	Professional		$129.01	$174.84	$240.06
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 $158.97 / $230.08 / $372.31	Professional		$158.97	$230.08	$372.31