Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $2,113.00 / $10,268.00	Facility		$119.72	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $119.72 / $205.31	Professional		$74.95	$119.72	$205.31
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 $72.12 / $112.89 / $194.80	Professional		$72.12	$112.89	$194.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.75 / $121.95 / $121.95	Facility		$83.75	$121.95	$121.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $141.87 / $141.87	Professional		$109.33	$141.87	$141.87
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 $80.47 / $134.41 / $234.43	Professional		$80.47	$134.41	$234.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $136.94 / $225.69	Professional		$86.22	$136.94	$225.69
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 $105.62 / $142.19 / $235.17	Professional		$105.62	$142.19	$235.17