Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.32 / $2,646.00 / $10,268.00	Facility		$220.32	$2,646.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.86 / $220.32 / $402.86	Professional		$167.86	$220.32	$402.86
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 $147.43 / $210.44 / $360.07	Professional		$147.43	$210.44	$360.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.86 / $195.43 / $241.89	Facility		$162.86	$195.43	$241.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.23 / $232.63 / $232.63	Professional		$203.23	$232.63	$232.63
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 $177.00 / $252.43 / $414.20	Professional		$177.00	$252.43	$414.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $180.75 / $257.95 / $420.11	Professional		$180.75	$257.95	$420.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $214.33 / $295.90	Professional		$156.38	$214.33	$295.90
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 $171.21 / $253.78 / $501.53	Professional		$171.21	$253.78	$501.53