Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $2,006.00 / $10,268.00	Facility		$74.06	$2,006.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $74.06 / $136.60	Professional		$41.27	$74.06	$136.60
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 $32.18 / $66.38 / $123.41	Professional		$32.18	$66.38	$123.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.68 / $57.77	Facility		$38.90	$46.68	$57.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $76.18 / $76.18	Professional		$70.08	$76.18	$76.18
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 $45.20 / $81.02 / $146.66	Professional		$45.20	$81.02	$146.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $84.49 / $145.43	Professional		$46.68	$84.49	$145.43
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 $480.00 / $1,017.00 / $3,398.00	Facility		$480.00	$1,017.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $90.50 / $151.46	Professional		$65.78	$90.50	$151.46