Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $2,547.00 / $10,635.00	Facility		$145.09	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $97.57 / $202.97	Professional		$97.57	$97.57	$202.97
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 $75.47 / $110.43 / $199.65	Professional		$75.47	$110.43	$199.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.38 / $124.73 / $154.38	Facility		$103.38	$124.73	$154.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $114.33 / $114.33	Professional		$108.23	$114.33	$114.33
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 $115.77 / $160.05 / $275.00	Professional		$115.77	$160.05	$275.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $160.79 / $290.00	Professional		$117.96	$160.79	$290.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $117.84 / $158.89	Professional		$89.03	$117.84	$158.89
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 $101.97 / $141.63 / $236.35	Professional		$101.97	$141.63	$236.35