Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.02 / $114.53 / $275.31	Facility		$77.02	$114.53	$275.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $77.02 / $134.33	Professional		$77.02	$77.02	$134.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,981.00 / $3,943.00	Facility		$1,051.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $8.42 / $106.35	Professional		$5.66	$8.42	$106.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $79.31 / $89.28	Facility		$69.56	$79.31	$89.28
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 $80.20 / $115.32 / $161.53	Professional		$80.20	$115.32	$161.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $116.26 / $156.24	Professional		$80.20	$116.26	$156.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $66.68 / $161.08	Professional		$50.00	$66.68	$161.08
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 $75.20 / $100.44 / $164.39	Professional		$75.20	$100.44	$164.39