Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $2,306.00 / $10,268.00	Facility		$56.03	$2,306.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $37.68 / $76.56	Professional		$37.68	$37.68	$76.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $42.32 / $76.43	Professional		$31.11	$42.32	$76.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.21 / $42.25 / $52.29	Facility		$35.21	$42.25	$52.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $38.72 / $44.14	Professional		$38.72	$38.72	$44.14
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 $37.86 / $55.33 / $122.03	Professional		$37.86	$55.33	$122.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $55.99 / $122.03	Professional		$38.72	$55.99	$122.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.90 / $54.43	Professional		$32.34	$40.90	$54.43
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 $37.47 / $50.08 / $92.27	Professional		$37.47	$50.08	$92.27