Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.54 / $2,833.00 / $10,268.00	Facility		$79.54	$2,833.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $45.87 / $112.61	Professional		$45.87	$45.87	$112.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $51.73 / $92.17	Professional		$39.26	$51.73	$92.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $54.24 / $67.14	Facility		$45.20	$54.24	$67.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $49.72 / $49.72	Professional		$41.49	$49.72	$49.72
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 $47.46 / $67.42 / $140.76	Professional		$47.46	$67.42	$140.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $69.38 / $142.88	Professional		$49.72	$69.38	$142.88
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 $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 $43.78 / $61.02 / $98.91	Professional		$43.78	$61.02	$98.91