Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.44 / $1,967.00 / $9,516.00	Facility		$200.44	$1,967.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.79 / $200.44 / $507.62	Professional		$149.79	$200.44	$507.62
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 $120.90 / $168.92 / $312.63	Professional		$120.90	$168.92	$312.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.91 / $182.29 / $284.83	Facility		$151.91	$182.29	$284.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $221.23 / $392.19	Professional		$221.23	$221.23	$392.19
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 $171.77 / $245.37 / $422.36	Professional		$171.77	$245.37	$422.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $180.37 / $261.45 / $422.56	Professional		$180.37	$261.45	$422.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $214.33 / $295.90	Professional		$156.38	$214.33	$295.90
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 $190.21 / $278.79 / $446.26	Professional		$190.21	$278.79	$446.26