Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.42 / $3,707.00 / $9,863.00	Facility		$237.42	$3,707.00	$9,863.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $410.00 / $1,077.94 / $5,870.70	Facility	50	$410.00	$1,077.94	$5,870.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $143.18 / $473.23	Professional		$139.66	$143.18	$473.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.51 / $153.03 / $276.83	Professional		$112.51	$153.03	$276.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.37 / $169.64 / $265.07	Facility		$141.37	$169.64	$265.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $166.95 / $275.67	Professional		$155.51	$166.95	$275.67
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 $148.61 / $199.98 / $298.91	Professional		$148.61	$199.98	$298.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $214.67 / $301.85	Professional		$148.61	$214.67	$301.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $155.34 / $227.76	Professional		$100.86	$155.34	$227.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,725.00 / $2,721.00 / $5,457.00	Facility		$1,725.00	$2,721.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $188.87 / $315.72	Professional		$134.63	$188.87	$315.72