Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $154.90 / $2,872.78	Facility		$43.77	$154.90	$2,872.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $43.77 / $74.95	Professional		$43.77	$43.77	$74.95
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 $11.33 / $16.80 / $60.23	Professional		$11.33	$16.80	$60.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $44.73 / $50.14	Facility		$39.06	$44.73	$50.14
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 $45.91 / $65.58 / $90.13	Professional		$45.91	$65.58	$90.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $65.58 / $87.94	Professional		$45.95	$65.58	$87.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $50.00 / $60.00	Professional		$23.93	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $979.00 / $3,218.00	Facility		$467.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $59.10 / $94.56	Professional		$42.47	$59.10	$94.56