Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.83 / $3,999.00 / $10,268.00	Facility		$151.83	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.84 / $151.83 / $296.72	Professional		$124.84	$151.83	$296.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $142.36 / $242.19	Professional		$102.25	$142.36	$242.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.10 / $144.12 / $178.38	Facility		$120.10	$144.12	$178.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $159.97 / $159.97	Professional		$116.76	$159.97	$159.97
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 $131.38 / $180.00 / $286.69	Professional		$131.38	$180.00	$286.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $184.35 / $286.69	Professional		$138.11	$184.35	$286.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $155.34 / $227.76	Professional		$100.86	$155.34	$227.76
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 $122.48 / $179.29 / $298.82	Professional		$122.48	$179.29	$298.82