Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $481.88 / $11,627.00	Facility		$66.95	$481.88	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $115.37 / $212.50	Professional		$60.86	$115.37	$212.50
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 $70.47 / $108.13 / $191.89	Professional		$70.47	$108.13	$191.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $97.17 / $97.17	Facility		$66.73	$97.17	$97.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $144.57 / $144.57	Professional		$111.40	$144.57	$144.57
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 $64.27 / $128.80 / $227.86	Professional		$64.27	$128.80	$227.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $138.00 / $220.41	Professional		$68.69	$138.00	$220.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $145.95 / $209.48	Professional		$108.45	$145.95	$209.48
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 $77.53 / $149.82 / $256.92	Professional		$77.53	$149.82	$256.92