Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $4,503.85 / $10,651.00	Facility		$219.60	$4,503.85	$10,651.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $213.86 / $690.24	Professional		$178.51	$213.86	$690.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $356.20 / $664.85	Professional		$213.96	$356.20	$664.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.65 / $251.58 / $311.39	Facility		$209.65	$251.58	$311.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.87 / $256.87 / $274.26	Professional		$256.87	$256.87	$274.26
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 $211.53 / $308.19 / $443.43	Professional		$211.53	$308.19	$443.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $222.55 / $317.97 / $459.12	Professional		$222.55	$317.97	$459.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $275.68 / $378.99	Professional		$198.16	$275.68	$378.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,351.00	Facility		$2,647.00	$4,410.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.63 / $287.00 / $493.70	Professional		$207.63	$287.00	$493.70