Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $83.34 / $208.68	Facility		$46.06	$83.34	$208.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $74.27 / $128.66	Professional		$46.06	$74.27	$128.66
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 $42.49 / $76.89 / $140.38	Professional		$42.49	$76.89	$140.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $54.12 / $66.98	Facility		$45.10	$54.12	$66.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $78.78 / $78.78	Professional		$57.39	$78.78	$78.78
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 $54.98 / $87.37 / $142.56	Professional		$54.98	$87.37	$142.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $88.78 / $149.09	Professional		$55.65	$88.78	$149.09
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 $60.72 / $91.26 / $145.91	Professional		$60.72	$91.26	$145.91