Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.47 / $8,553.00 / $11,627.00	Facility		$68.47	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $74.29 / $117.42	Professional		$62.43	$74.29	$117.42
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 $43.77 / $55.25 / $97.53	Professional		$43.77	$55.25	$97.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,776.48 / $12,776.48 / $12,776.48	Facility		$12,776.48	$12,776.48	$12,776.48
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 $62.97 / $94.68 / $152.58	Professional		$62.97	$94.68	$152.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $99.54 / $152.58	Professional		$66.76	$99.54	$152.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $62.65 / $82.23 / $132.30	Professional		$62.65	$82.23	$132.30