Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $61.23 / $352.00	Facility		$61.23	$61.23	$352.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $60.24 / $65.31	Professional		$38.46	$60.24	$65.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $61.23 / $98.29	Professional		$49.14	$61.23	$98.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $1,097.93 / $2,421.90	Facility		$79.30	$1,097.93	$2,421.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $1,235.17 / $2,179.71	Professional		$82.34	$1,235.17	$2,179.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $76.62 / $76.62	Facility		$76.62	$76.62	$76.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $97.40 / $321.16	Professional		$87.15	$97.40	$321.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $87.15 / $87.15	Professional		$87.15	$87.15	$87.15
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 Facility Modifier Low / Median / High Price $1,480.00 / $2,934.00 / $6,111.00	Facility		$1,480.00	$2,934.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $56.75 / $93.20	Professional		$39.02	$56.75	$93.20