Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.68 / $4,723.00 / $11,627.00	Facility		$74.68	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $74.68 / $227.21	Professional		$74.68	$74.68	$227.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.92 / $1,751.91 / $3,485.00	Facility		$856.92	$1,751.91	$3,485.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.81 / $124.82	Professional		$57.54	$75.81	$124.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $75.59 / $94.54	Facility		$64.93	$75.59	$94.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $70.03 / $76.37	Professional		$70.03	$70.03	$76.37
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 $69.09 / $93.41 / $134.72	Professional		$69.09	$93.41	$134.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $97.71 / $129.77	Professional		$69.09	$97.71	$129.77
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 $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $90.30 / $144.24	Professional		$67.55	$90.30	$144.24