Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $17.13 / $41.31	Facility		$11.52	$17.13	$41.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $11.52 / $20.36	Professional		$11.52	$11.52	$20.36
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 $5.66 / $8.52 / $16.17	Professional		$5.66	$8.52	$16.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $11.90 / $13.30	Facility		$10.36	$11.90	$13.30
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 $12.27 / $17.64 / $37.75	Professional		$12.27	$17.64	$37.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $17.64 / $31.97	Professional		$12.27	$17.64	$31.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,017.00 / $3,398.00	Facility		$480.00	$1,017.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $15.26 / $25.78	Professional		$11.55	$15.26	$25.78