Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.55 / $9,496.00 / $11,627.00	Facility		$50.55	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $50.55 / $53.86	Professional		$31.79	$50.55	$53.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $50.50 / $81.00	Professional		$38.88	$50.50	$81.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $600.60 / $1,509.02	Facility		$67.06	$600.60	$1,509.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $623.70 / $1,450.97	Professional		$69.65	$623.70	$1,450.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $60.02 / $60.02	Facility		$60.02	$60.02	$60.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $251.03	Professional		$71.95	$71.95	$251.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Professional		$71.95	$71.95	$71.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $60.00	Professional		$35.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $63.93 / $104.25	Professional		$43.96	$63.93	$104.25