Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.06 / $6,927.63 / $11,627.00	Facility		$128.06	$6,927.63	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $131.59 / $250.00	Professional		$124.31	$131.59	$250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.77 / $594.59 / $1,048.86	Professional		$446.77	$594.59	$1,048.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.37 / $154.65 / $1,086.68	Facility		$135.37	$154.65	$1,086.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $130.16 / $145.69	Professional		$114.54	$130.16	$145.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $142.26 / $21,571.00	Facility		$142.26	$142.26	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $148.11 / $272.52	Professional		$103.84	$148.11	$272.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $154.03 / $250.04	Professional		$107.94	$154.03	$250.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $110.94 / $144.14	Professional		$71.94	$110.94	$144.14
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $131.19 / $291.77	Professional		$68.20	$131.19	$291.77