Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.81 / $6,582.00 / $11,627.00	Facility		$198.81	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.29 / $198.81 / $584.61	Professional		$190.29	$198.81	$584.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $215.27 / $351.23	Professional		$142.84	$215.27	$351.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.78 / $179.78 / $261.77	Facility		$179.78	$179.78	$261.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $193.89 / $229.01	Professional		$193.89	$193.89	$229.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.66 / $252.68 / $348.99	Professional		$191.66	$252.68	$348.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $253.17 / $341.74	Professional		$198.40	$253.17	$341.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.77 / $235.16 / $311.85	Professional		$179.77	$235.16	$311.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.17 / $234.83 / $364.34	Professional		$181.17	$234.83	$364.34