Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $286.67 / $11,627.00	Facility		$64.34	$286.67	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $105.81 / $185.18	Professional		$58.49	$105.81	$185.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,981.00 / $3,943.00	Facility		$1,051.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $60.53 / $113.44	Professional		$42.62	$60.53	$113.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $67.97 / $84.13	Facility		$56.64	$67.97	$84.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $109.31 / $109.31	Professional		$81.44	$109.31	$109.31
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 $64.38 / $112.96 / $212.95	Professional		$64.38	$112.96	$212.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $119.25 / $212.95	Professional		$67.97	$119.25	$212.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $115.92 / $157.44	Professional		$86.31	$115.92	$157.44
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 $93.76 / $136.08 / $231.19	Professional		$93.76	$136.08	$231.19