Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.14 / $2,989.00 / $11,581.00	Facility		$79.14	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $53.22 / $53.22	Professional		$31.77	$53.22	$53.22
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 $0.02 / $0.02 / $50.00	Professional		$0.02	$0.02	$50.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $60.11 / $72.79	Facility		$53.92	$60.11	$72.79
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 $31.53 / $60.39 / $168.00	Professional		$31.53	$60.39	$168.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $60.39 / $165.00	Professional		$36.09	$60.39	$165.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
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 $21.51 / $30.70 / $67.12	Professional		$21.51	$30.70	$67.12