Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $142.31 / $3,225.12	Facility		$79.63	$142.31	$3,225.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $79.63 / $142.31	Professional		$79.63	$79.63	$142.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $103.77 / $165.92	Professional		$69.59	$103.77	$165.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $91.93 / $113.78	Facility		$76.61	$91.93	$113.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $84.27 / $84.27	Professional		$81.48	$84.27	$84.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $109.77 / $109.77	Professional		$84.72	$109.77	$109.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $141.59 / $146.80 / $146.80	Professional		$141.59	$146.80	$146.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $119.08 / $159.68	Professional		$88.37	$119.08	$159.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $103.42 / $173.03	Professional		$70.31	$103.42	$173.03