Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $314.27 / $11,627.00	Facility		$69.52	$314.27	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $93.22 / $158.10	Professional		$63.20	$93.22	$158.10
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 $62.90 / $100.46 / $167.49	Professional		$62.90	$100.46	$167.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.73 / $101.73 / $101.73	Facility		$101.73	$101.73	$101.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $111.65 / $111.65	Professional		$93.71	$111.65	$111.65
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 $67.12 / $108.86 / $179.62	Professional		$67.12	$108.86	$179.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $113.81 / $180.27	Professional		$71.92	$113.81	$180.27
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 $83.10 / $110.80 / $189.16	Professional		$83.10	$110.80	$189.16