Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.44 / $2,485.00 / $11,627.00	Facility		$276.44	$2,485.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $423.15	Professional		$153.00	$153.00	$423.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $179.37 / $293.58	Professional		$135.32	$179.37	$293.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.31 / $193.57 / $239.58	Facility		$161.31	$193.57	$239.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.44 / $177.44 / $189.58	Professional		$177.44	$177.44	$189.58
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 $177.44 / $232.85 / $353.83	Professional		$177.44	$232.85	$353.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $232.85 / $353.83	Professional		$188.73	$232.85	$353.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.43 / $238.35 / $317.30	Professional		$180.43	$238.35	$317.30
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $236.50 / $381.66	Professional		$159.36	$236.50	$381.66