Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.70 / $4,687.00 / $11,581.00	Facility		$294.70	$4,687.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $406.32 / $755.33	Professional		$173.36	$406.32	$755.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	50	$482.32	$482.32	$482.32
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 $167.05 / $220.12 / $362.43	Professional		$167.05	$220.12	$362.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $250.58 / $328.65 / $542.15	Professional	50	$250.58	$328.65	$542.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.62 / $219.58 / $274.66	Facility		$188.62	$219.58	$274.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.67 / $464.67 / $541.88	Professional		$464.67	$464.67	$541.88
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 $212.66 / $507.46 / $946.24	Professional		$212.66	$507.46	$946.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $212.66 / $485.79 / $887.10	Professional		$212.66	$485.79	$887.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $410.76 / $602.26	Professional		$35.10	$410.76	$602.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,138.00 / $6,522.00	Facility		$2,233.00	$4,138.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.31 / $639.91 / $1,036.30	Professional		$323.31	$639.91	$1,036.30