Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.44 / $2,485.00 / $10,635.00	Facility		$80.44	$2,485.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $53.17 / $156.46	Professional		$53.17	$53.17	$156.46
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 $26.48 / $52.87 / $89.08	Professional		$26.48	$52.87	$89.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $53.43 / $66.83	Facility		$45.89	$53.43	$66.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $49.49 / $56.10	Professional		$49.49	$49.49	$56.10
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 $49.49 / $69.73 / $137.15	Professional		$49.49	$69.73	$137.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $69.73 / $96.20	Professional		$49.51	$69.73	$96.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $40.43 / $53.95	Professional		$30.24	$40.43	$53.95
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 $48.14 / $62.96 / $101.47	Professional		$48.14	$62.96	$101.47