Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.04 / $2,113.00 / $10,268.00	Facility		$85.04	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $83.32 / $202.55	Professional		$76.73	$83.32	$202.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,059.00 / $2,550.00	Facility		$711.00	$2,059.00	$2,550.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $99.62 / $171.67	Professional		$74.17	$99.62	$171.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.39 / $125.79 / $125.79	Facility		$86.39	$125.79	$125.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $100.29 / $100.29	Professional		$97.31	$100.29	$100.29
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 $80.34 / $111.23 / $182.99	Professional		$80.34	$111.23	$182.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $118.53 / $181.24	Professional		$82.47	$118.53	$181.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $114.31 / $156.16	Professional		$82.26	$114.31	$156.16
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 $75.94 / $102.13 / $173.28	Professional		$75.94	$102.13	$173.28