Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $588.15 / $11,581.00	Facility		$91.26	$588.15	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $142.49 / $236.51	Professional		$82.96	$142.49	$236.51
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 $81.39 / $127.88 / $237.28	Professional		$81.39	$127.88	$237.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.62 / $133.41 / $133.41	Facility		$91.62	$133.41	$133.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $180.82 / $180.82	Professional		$133.19	$180.82	$180.82
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 $88.03 / $160.72 / $277.39	Professional		$88.03	$160.72	$277.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $171.29 / $274.92	Professional		$94.32	$171.29	$274.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $220.27 / $311.05	Professional		$163.59	$220.27	$311.05
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 $106.86 / $180.68 / $309.69	Professional		$106.86	$180.68	$309.69