Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.49 / $6,064.00 / $11,561.00	Facility		$227.49	$6,064.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $148.86 / $352.52	Professional		$107.34	$148.86	$352.52
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 $117.74 / $158.52 / $276.41	Professional		$117.74	$158.52	$276.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.82 / $152.18 / $188.37	Facility		$126.82	$152.18	$188.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $139.50 / $155.13	Professional		$139.50	$139.50	$155.13
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 $131.01 / $190.95 / $263.19	Professional		$131.01	$190.95	$263.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $193.98 / $275.75	Professional		$137.84	$193.98	$275.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $159.46 / $212.56	Professional		$119.28	$159.46	$212.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $172.21 / $282.51	Professional		$125.55	$172.21	$282.51