Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.04 / $2,895.00 / $9,534.00	Facility		$196.04	$2,895.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $196.04 / $342.55	Professional		$142.06	$196.04	$342.55
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 $119.56 / $171.62 / $286.74	Professional		$119.56	$171.62	$286.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $164.95 / $204.16	Facility		$137.46	$164.95	$204.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.02 / $205.66 / $205.66	Professional		$166.02	$205.66	$205.66
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 $151.11 / $213.96 / $363.82	Professional		$151.11	$213.96	$363.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $158.08 / $218.75 / $368.56	Professional		$158.08	$218.75	$368.56
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 $143.72 / $214.72 / $364.65	Professional		$143.72	$214.72	$364.65