Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $103.79 / $247.75	Facility		$69.80	$103.79	$247.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $69.80 / $122.21	Professional		$69.80	$69.80	$122.21
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 / $8.40 / $96.91	Professional		$5.66	$8.40	$96.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $71.98 / $81.34	Facility		$63.37	$71.98	$81.34
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 $72.84 / $104.92 / $146.94	Professional		$72.84	$104.92	$146.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $105.68 / $142.34	Professional		$72.84	$105.68	$142.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $60.00 / $105.09	Professional		$43.26	$60.00	$105.09
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 $67.90 / $90.08 / $149.27	Professional		$67.90	$90.08	$149.27