Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.08 / $2,113.00 / $10,268.00	Facility		$84.08	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $84.08 / $165.42	Professional		$52.84	$84.08	$165.42
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 $42.18 / $80.62 / $139.82	Professional		$42.18	$80.62	$139.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $60.58 / $74.97	Facility		$50.48	$60.58	$74.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $87.63 / $87.63	Professional		$78.94	$87.63	$87.63
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 $58.20 / $97.68 / $169.32	Professional		$58.20	$97.68	$169.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $100.32 / $168.08	Professional		$60.58	$100.32	$168.08
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 $75.83 / $104.24 / $174.41	Professional		$75.83	$104.24	$174.41