Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.03 / $2,849.00 / $10,268.00	Facility		$190.03	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $190.03 / $347.87	Professional		$119.29	$190.03	$347.87
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 $99.13 / $159.10 / $305.20	Professional		$99.13	$159.10	$305.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.53 / $143.44 / $224.12	Facility		$119.53	$143.44	$224.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $207.01 / $366.98	Professional		$207.01	$207.01	$366.98
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 $131.47 / $218.06 / $372.14	Professional		$131.47	$218.06	$372.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $226.60 / $376.51	Professional		$143.21	$226.60	$376.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.86 / $212.55 / $296.47	Professional		$152.86	$212.55	$296.47
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 $173.03 / $247.88 / $410.22	Professional		$173.03	$247.88	$410.22