Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $1,523.00 / $9,504.00	Facility		$72.36	$1,523.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $142.19 / $243.85	Professional		$42.57	$142.19	$243.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $129.99 / $250.29	Professional		$47.60	$129.99	$250.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.92 / $55.10 / $68.20	Facility		$45.92	$55.10	$68.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $166.56 / $181.23	Professional		$166.56	$166.56	$181.23
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 $55.11 / $164.31 / $297.01	Professional		$55.11	$164.31	$297.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $164.31 / $300.83	Professional		$56.03	$164.31	$300.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $192.02 / $263.93	Professional		$140.63	$192.02	$263.93
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.31 / $216.48 / $345.38	Professional		$142.31	$216.48	$345.38