Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.06 / $2,475.00 / $10,268.00	Facility		$263.06	$2,475.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $1,042.97 / $2,015.18	Professional		$117.17	$1,042.97	$2,015.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,869.00 / $14,996.00	Facility		$1,760.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $312.88 / $609.20	Professional		$152.19	$312.88	$609.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.84 / $155.51 / $539.45	Facility		$126.84	$155.51	$539.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $1,221.83 / $1,906.07	Professional		$107.81	$1,221.83	$1,906.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $21,571.00	Facility		$176.00	$176.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $951.12 / $2,179.10	Professional		$117.92	$951.12	$2,179.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $977.47 / $2,179.10	Professional		$121.96	$977.47	$2,179.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $907.31 / $1,211.75 / $1,684.56	Professional		$907.31	$1,211.75	$1,684.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.18 / $1,347.17 / $2,601.41	Professional		$1,056.18	$1,347.17	$2,601.41