Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.32 / $2,989.00 / $11,581.00	Facility		$507.32	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.58 / $299.58 / $507.32	Professional		$299.58	$299.58	$507.32
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 $99.63 / $343.35 / $678.64	Professional		$99.63	$343.35	$678.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.95 / $355.36 / $430.58	Facility		$318.95	$355.36	$430.58
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 $350.88 / $465.98 / $646.13	Professional		$350.88	$465.98	$646.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $366.83 / $460.48 / $646.13	Professional		$366.83	$460.48	$646.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $442.24 / $698.71	Professional		$305.14	$442.24	$698.71