Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $2,113.00 / $10,268.00	Facility		$42.09	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $45.78 / $84.31	Professional		$24.16	$45.78	$84.31
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 $27.94 / $45.54 / $78.48	Professional		$27.94	$45.54	$78.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $37.81 / $37.81	Facility		$25.97	$37.81	$37.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $59.13 / $59.13	Professional		$51.12	$59.13	$59.13
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 $25.12 / $52.67 / $88.68	Professional		$25.12	$52.67	$88.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $54.17 / $88.68	Professional		$26.73	$54.17	$88.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $74.53 / $102.79	Professional		$54.68	$74.53	$102.79
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $58.10 / $111.98	Professional		$43.58	$58.10	$111.98