Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.29 / $2,113.00 / $10,268.00	Facility		$93.29	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $147.96 / $268.64	Professional		$50.82	$147.96	$268.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $108.13 / $201.83	Professional		$49.99	$108.13	$201.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $57.89 / $71.66	Facility		$48.24	$57.89	$71.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $149.99 / $149.99	Professional		$117.09	$149.99	$149.99
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 $56.62 / $147.41 / $256.52	Professional		$56.62	$147.41	$256.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.89 / $149.97 / $260.00	Professional		$57.89	$149.97	$260.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $155.32 / $209.77	Professional		$114.80	$155.32	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $165.34 / $300.50	Professional		$118.04	$165.34	$300.50