Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.60 / $452.14 / $8,913.00	Facility		$115.60	$452.14	$8,913.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $122.71 / $232.78	Professional		$66.48	$122.71	$232.78
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 $111.90 / $168.58 / $281.62	Professional		$111.90	$168.58	$281.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $105.64 / $105.64	Facility		$72.54	$105.64	$105.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $144.36 / $155.72	Professional		$144.36	$144.36	$155.72
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 $75.37 / $138.86 / $252.66	Professional		$75.37	$138.86	$252.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $138.09 / $253.92	Professional		$78.13	$138.09	$253.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $149.06 / $205.58	Professional		$109.97	$149.06	$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 $115.49 / $159.81 / $262.48	Professional		$115.49	$159.81	$262.48