Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $2,785.00 / $9,516.00	Facility		$105.33	$2,785.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $109.56 / $199.38	Professional		$59.89	$109.56	$199.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,141.00 / $3,111.00	Facility		$772.00	$2,141.00	$3,111.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $116.39 / $228.23	Professional		$64.78	$116.39	$228.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $96.48 / $96.48	Facility		$66.26	$96.48	$96.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $128.18 / $128.18	Professional		$96.15	$128.18	$128.18
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 $63.66 / $114.20 / $215.18	Professional		$63.66	$114.20	$215.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $116.19 / $204.50	Professional		$68.20	$116.19	$204.50
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 $107.61 / $140.07 / $230.26	Professional		$107.61	$140.07	$230.26