Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.11 / $2,113.00 / $10,268.00	Facility		$145.11	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $140.11 / $345.63	Professional		$131.91	$140.11	$345.63
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 $139.40 / $179.75 / $308.70	Professional		$139.40	$179.75	$308.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.18 / $212.87 / $212.87	Facility		$146.18	$212.87	$212.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.38 / $167.38 / $175.39	Professional		$167.38	$167.38	$175.39
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 $134.63 / $188.68 / $315.01	Professional		$134.63	$188.68	$315.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $203.39 / $307.26	Professional		$137.76	$203.39	$307.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $188.49 / $258.69	Professional		$139.78	$188.49	$258.69
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 $133.97 / $179.40 / $314.62	Professional		$133.97	$179.40	$314.62