Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $262.63 / $11,627.00	Facility		$64.16	$262.63	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $93.24 / $176.74	Professional		$58.33	$93.24	$176.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $84.32 / $203.99	Professional		$51.97	$84.32	$203.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.08 / $50.08 / $72.91	Facility		$50.08	$50.08	$72.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $86.74 / $86.74	Professional		$75.62	$86.74	$86.74
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 $56.70 / $89.75 / $160.30	Professional		$56.70	$89.75	$160.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $90.68 / $160.30	Professional		$58.91	$90.68	$160.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $76.49 / $102.79	Professional		$57.79	$76.49	$102.79
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 $80.91 / $111.06 / $201.19	Professional		$80.91	$111.06	$201.19