Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.21 / $2,547.00 / $10,635.00	Facility		$101.21	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $68.06 / $183.27	Professional		$68.06	$68.06	$183.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $68.87 / $128.47	Professional		$45.51	$68.87	$128.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $78.17 / $96.76	Facility		$65.14	$78.17	$96.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $83.97	Professional		$71.65	$71.65	$83.97
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 $68.39 / $99.97 / $190.95	Professional		$68.39	$99.97	$190.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $99.99 / $206.84	Professional		$71.65	$99.99	$206.84
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 $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $88.24 / $160.19	Professional		$65.02	$88.24	$160.19