Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $26.19 / $45.28	Facility		$12.71	$26.19	$45.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.69 / $29.86	Professional		$11.76	$14.69	$29.86
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 $12.05 / $20.56 / $46.16	Professional		$12.05	$20.56	$46.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Facility		$10.69	$10.69	$10.69
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 $13.71 / $19.30 / $33.36	Professional		$13.71	$19.30	$33.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $19.30 / $36.90	Professional		$13.94	$19.30	$36.90
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 $14.39 / $21.65 / $34.28	Professional		$14.39	$21.65	$34.28