Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $58.75 / $141.12	Facility		$39.51	$58.75	$141.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $39.51 / $68.59	Professional		$39.51	$39.51	$68.59
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 / $54.29	Professional		$5.66	$8.40	$54.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $40.70 / $45.56	Facility		$35.50	$40.70	$45.56
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 $42.07 / $59.79 / $82.48	Professional		$42.07	$59.79	$82.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $59.79 / $80.61	Professional		$42.07	$59.79	$80.61
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 $38.72 / $52.33 / $86.23	Professional		$38.72	$52.33	$86.23