Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $2,547.00 / $10,635.00	Facility		$153.19	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $206.79	Professional		$103.02	$103.02	$206.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,981.00 / $3,943.00	Facility		$1,051.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $112.54 / $197.84	Professional		$81.22	$112.54	$197.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.77 / $131.19 / $162.38	Facility		$108.77	$131.19	$162.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $120.26 / $120.26	Professional		$110.30	$120.26	$120.26
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 $121.87 / $155.25 / $280.00	Professional		$121.87	$155.25	$280.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $163.63 / $284.48	Professional		$124.17	$163.63	$284.48
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 $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $146.61 / $248.80	Professional		$107.73	$146.61	$248.80