Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.86 / $2,816.00 / $9,534.00	Facility		$60.86	$2,816.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $150.55 / $274.64	Professional		$36.47	$150.55	$274.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $122.40 / $246.29	Professional		$36.78	$122.40	$246.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $37.26 / $46.61	Facility		$32.00	$37.26	$46.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $137.60 / $137.60	Professional		$111.60	$137.60	$137.60
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 $37.01 / $95.88 / $236.11	Professional		$37.01	$95.88	$236.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $105.93 / $245.42	Professional		$37.65	$105.93	$245.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $149.42 / $206.60	Professional		$112.90	$149.42	$206.60
United Facility/Professional Facility Modifier Low / Median / High Price $464.44 / $1,452.00 / $3,923.00	Facility		$464.44	$1,452.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $203.30 / $334.57	Professional		$153.40	$203.30	$334.57