Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $2,113.00 / $10,268.00	Facility		$80.91	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $80.91 / $143.22	Professional		$48.43	$80.91	$143.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $77.23 / $130.52	Professional		$48.58	$77.23	$130.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $78.59 / $78.59	Facility		$53.98	$78.59	$78.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $95.49 / $95.49	Professional		$71.13	$95.49	$95.49
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 $51.86 / $85.07 / $154.51	Professional		$51.86	$85.07	$154.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $91.15 / $149.59	Professional		$54.99	$91.15	$149.59
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 $74.20 / $97.34 / $161.44	Professional		$74.20	$97.34	$161.44