Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $2,547.00 / $10,635.00	Facility		$115.89	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $76.16 / $146.88	Professional		$76.16	$76.16	$146.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $86.06 / $211.57	Professional		$56.82	$86.06	$211.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.41 / $84.49 / $132.02	Facility		$70.41	$84.49	$132.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $79.54 / $137.30	Professional		$77.45	$79.54	$137.30
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 $73.93 / $109.37 / $196.83	Professional		$73.93	$109.37	$196.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $109.37 / $196.83	Professional		$77.45	$109.37	$196.83
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 $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $96.38 / $164.47	Professional		$69.72	$96.38	$164.47