Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.30 / $2,547.00 / $10,635.00	Facility		$355.30	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.17 / $355.30 / $410.78	Professional		$172.17	$355.30	$410.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.36 / $368.52 / $638.92	Professional		$198.36	$368.52	$638.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.54 / $228.54 / $228.54	Facility		$228.54	$228.54	$228.54
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 $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.39 / $385.87 / $519.94	Professional		$277.39	$385.87	$519.94
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $594.74 / $1,009.69	Professional		$381.36	$594.74	$1,009.69