Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.36 / $3,696.00 / $11,627.00	Facility		$162.36	$3,696.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $162.36 / $381.63	Professional		$162.36	$162.36	$381.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.01 / $253.04 / $427.29	Professional		$182.01	$253.04	$427.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.70 / $230.04 / $284.72	Facility		$191.70	$230.04	$284.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.87 / $210.87 / $222.48	Professional		$210.87	$210.87	$222.48
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 $200.63 / $295.27 / $401.71	Professional		$200.63	$295.27	$401.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $210.87 / $297.17 / $402.56	Professional		$210.87	$297.17	$402.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $238.35 / $317.30	Professional		$183.14	$238.35	$317.30
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.84 / $264.72 / $439.51	Professional		$191.84	$264.72	$439.51