Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.67 / $3,497.00 / $10,635.00	Facility		$188.67	$3,497.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.88 / $434.59	Professional		$126.57	$126.88	$434.59
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 $104.79 / $143.50 / $271.07	Professional		$104.79	$143.50	$271.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $148.31 / $183.57	Facility		$123.59	$148.31	$183.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $135.94 / $144.93	Professional		$135.94	$135.94	$144.93
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 $131.78 / $177.27 / $264.48	Professional		$131.78	$177.27	$264.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $189.71 / $259.57	Professional		$135.94	$189.71	$259.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $119.08 / $159.68	Professional		$90.49	$119.08	$159.68
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 $125.70 / $171.88 / $279.83	Professional		$125.70	$171.88	$279.83