Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $68.55 / $164.06	Facility		$46.10	$68.55	$164.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $46.10 / $80.94	Professional		$46.10	$46.10	$80.94
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 / $63.51	Professional		$5.66	$8.40	$63.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $47.53 / $53.58	Facility		$41.75	$47.53	$53.58
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 $48.73 / $69.94 / $97.32	Professional		$48.73	$69.94	$97.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $69.20 / $94.03	Professional		$49.12	$69.20	$94.03
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 $323.16 / $796.00 / $3,218.00	Facility		$323.16	$796.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $61.05 / $107.35	Professional		$45.27	$61.05	$107.35