Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $2,113.00 / $10,268.00	Facility		$69.80	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $72.08 / $130.74	Professional		$39.03	$72.08	$130.74
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 $37.68 / $61.43 / $111.50	Professional		$37.68	$61.43	$111.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $44.18 / $54.69	Facility		$36.82	$44.18	$54.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $74.22 / $74.22	Professional		$53.72	$74.22	$74.22
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 $42.60 / $74.61 / $142.27	Professional		$42.60	$74.61	$142.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $78.80 / $141.68	Professional		$44.19	$78.80	$141.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $78.80 / $105.09	Professional		$58.87	$78.80	$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 $63.05 / $87.79 / $146.61	Professional		$63.05	$87.79	$146.61