Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $295.97 / $744.35	Facility		$199.04	$295.97	$744.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.04 / $210.95 / $414.94	Professional		$199.04	$210.95	$414.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.79 / $255.06 / $431.31	Professional		$179.79	$255.06	$431.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.21 / $252.53 / $312.56	Facility		$205.21	$252.53	$312.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.48 / $231.48 / $234.87	Professional		$231.48	$231.48	$234.87
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 $231.49 / $313.76 / $451.85	Professional		$231.49	$313.76	$451.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $242.01 / $321.07 / $451.85	Professional		$242.01	$321.07	$451.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $238.35 / $317.30	Professional		$182.25	$238.35	$317.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.43 / $297.92 / $490.17	Professional		$212.43	$297.92	$490.17