Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $218.73 / $11,627.00	Facility		$49.64	$218.73	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $61.97 / $98.27	Professional		$43.11	$61.97	$98.27
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 $47.14 / $75.97 / $122.60	Professional		$47.14	$75.97	$122.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $73.23 / $73.23	Facility		$73.23	$73.23	$73.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $84.06 / $84.06	Professional		$66.14	$84.06	$84.06
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 $48.33 / $80.23 / $133.34	Professional		$48.33	$80.23	$133.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $84.07 / $136.04	Professional		$51.63	$84.07	$136.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $75.13 / $102.79	Professional		$54.68	$75.13	$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 $61.17 / $83.09 / $142.30	Professional		$61.17	$83.09	$142.30