Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.77 / $425.00 / $11,627.00	Facility		$97.77	$425.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $124.91 / $212.60	Professional		$88.88	$124.91	$212.60
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 $93.96 / $137.02 / $224.70	Professional		$93.96	$137.02	$224.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.85 / $142.85 / $142.85	Facility		$142.85	$142.85	$142.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.34 / $149.24 / $149.24	Professional		$132.34	$149.24	$149.24
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 $94.26 / $147.61 / $241.48	Professional		$94.26	$147.61	$241.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $156.02 / $241.48	Professional		$100.99	$156.02	$241.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $150.26 / $205.58	Professional		$109.37	$150.26	$205.58
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 $111.79 / $149.05 / $255.00	Professional		$111.79	$149.05	$255.00