Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.56 / $2,113.00 / $10,268.00	Facility		$127.56	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $127.56 / $218.25	Professional		$82.53	$127.56	$218.25
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 $77.45 / $117.80 / $208.01	Professional		$77.45	$117.80	$208.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.44 / $134.60 / $134.60	Facility		$92.44	$134.60	$134.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $151.55 / $151.55	Professional		$107.93	$151.55	$151.55
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 $85.39 / $144.66 / $247.73	Professional		$85.39	$144.66	$247.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $150.82 / $241.10	Professional		$95.15	$150.82	$241.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $128.11 / $188.31	Professional		$89.08	$128.11	$188.31
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 $114.23 / $152.30 / $251.45	Professional		$114.23	$152.30	$251.45