Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.95 / $4,723.00 / $11,627.00	Facility		$224.95	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.95 / $240.34 / $555.66	Professional		$224.95	$240.34	$555.66
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 $242.91 / $345.67 / $576.98	Professional		$242.91	$345.67	$576.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.19 / $319.08 / $394.93	Facility		$265.19	$319.08	$394.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.49 / $292.49 / $322.04	Professional		$292.49	$292.49	$322.04
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 $279.20 / $398.93 / $558.55	Professional		$279.20	$398.93	$558.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $410.09 / $558.55	Professional		$281.52	$410.09	$558.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $359.36 / $477.97	Professional		$268.80	$359.36	$477.97
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 $263.89 / $368.11 / $631.04	Professional		$263.89	$368.11	$631.04