Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $98.64 / $95,000.00	Facility		$27.65	$98.64	$95,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $27.65 / $48.29	Professional		$27.65	$27.65	$48.29
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 / $38.35	Professional		$11.33	$16.80	$38.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $28.13 / $31.52	Facility		$24.56	$28.13	$31.52
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 $29.07 / $41.88 / $83.56	Professional		$29.07	$41.88	$83.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $41.88 / $73.41	Professional		$29.07	$41.88	$73.41
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 $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $36.96 / $61.12	Professional		$27.01	$36.96	$61.12