Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.14 / $5,217.00 / $11,627.00	Facility		$288.14	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $199.87 / $456.11	Professional		$193.78	$199.87	$456.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $300.36 / $503.68	Professional		$214.54	$300.36	$503.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.93 / $275.92 / $341.51	Facility		$229.93	$275.92	$341.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.92 / $252.92 / $272.56	Professional		$252.92	$252.92	$272.56
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 $240.06 / $324.68 / $480.55	Professional		$240.06	$324.68	$480.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $337.33 / $480.55	Professional		$252.56	$337.33	$480.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $211.76 / $278.90 / $370.72	Professional		$211.76	$278.90	$370.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $304.45 / $517.65	Professional		$217.98	$304.45	$517.65