Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.18 / $2,849.00 / $10,268.00	Facility		$169.18	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.28 / $169.18 / $320.93	Professional		$141.28	$169.18	$320.93
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 $109.73 / $155.44 / $268.29	Professional		$109.73	$155.44	$268.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.36 / $163.63 / $202.53	Facility		$136.36	$163.63	$202.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $178.20 / $178.20	Professional		$142.77	$178.20	$178.20
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 $138.31 / $194.75 / $318.05	Professional		$138.31	$194.75	$318.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $205.15 / $320.20	Professional		$150.00	$205.15	$320.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $172.81 / $246.06	Professional		$124.79	$172.81	$246.06
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 $131.66 / $194.40 / $384.17	Professional		$131.66	$194.40	$384.17