Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $2,306.00 / $10,268.00	Facility		$119.14	$2,306.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $119.14 / $237.24	Professional		$45.18	$119.14	$237.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $131.04 / $231.17	Professional		$53.67	$131.04	$231.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $59.64 / $73.81	Facility		$49.70	$59.64	$73.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $142.19 / $142.19	Professional		$101.63	$142.19	$142.19
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 $62.13 / $152.25 / $282.49	Professional		$62.13	$152.25	$282.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $155.12 / $291.02	Professional		$62.13	$155.12	$291.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $153.74 / $209.77	Professional		$112.90	$153.74	$209.77
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 $133.11 / $200.27 / $329.47	Professional		$133.11	$200.27	$329.47