Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $1,902.00 / $9,534.00	Facility		$46.14	$1,902.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $58.48 / $105.63	Professional		$26.53	$58.48	$105.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $58.86 / $103.54	Professional		$27.68	$58.86	$103.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $42.49 / $42.49	Facility		$29.18	$42.49	$42.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $70.04 / $70.04	Professional		$66.42	$70.04	$70.04
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 $28.03 / $60.80 / $119.26	Professional		$28.03	$60.80	$119.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $62.40 / $119.26	Professional		$29.73	$62.40	$119.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.13 / $155.52	Professional		$81.79	$110.13	$155.52
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 $58.90 / $77.62 / $121.21	Professional		$58.90	$77.62	$121.21