Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $2,113.00 / $10,268.00	Facility		$87.40	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $87.40 / $165.79	Professional		$63.04	$87.40	$165.79
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 $51.22 / $84.86 / $161.84	Professional		$51.22	$84.86	$161.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $72.48 / $89.71	Facility		$60.40	$72.48	$89.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.56 / $91.07 / $91.07	Professional		$85.56	$91.07	$91.07
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 $69.30 / $107.63 / $177.63	Professional		$69.30	$107.63	$177.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $111.16 / $190.95	Professional		$71.90	$111.16	$190.95
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 $79.34 / $106.11 / $184.81	Professional		$79.34	$106.11	$184.81