Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.58 / $1,902.00 / $9,534.00	Facility		$132.58	$1,902.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $132.58 / $261.69	Professional		$79.48	$132.58	$261.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $136.57 / $258.20	Professional		$77.20	$136.57	$258.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $90.29 / $111.76	Facility		$75.23	$90.29	$111.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $136.58 / $136.58	Professional		$128.47	$136.58	$136.58
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 $88.03 / $146.36 / $263.20	Professional		$88.03	$146.36	$263.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $151.47 / $276.10	Professional		$91.79	$151.47	$276.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $153.74 / $209.77	Professional		$112.90	$153.74	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $501.39 / $1,452.00 / $3,923.00	Facility		$501.39	$1,452.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $175.18 / $282.13	Professional		$126.10	$175.18	$282.13