Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.84 / $2,113.00 / $10,268.00	Facility		$249.84	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.87 / $249.84 / $505.64	Professional		$205.87	$249.84	$505.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $274.49 / $459.85	Professional		$202.46	$274.49	$459.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.29 / $187.29 / $187.29	Facility		$187.29	$187.29	$187.29
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 $234.71 / $318.38 / $486.00	Professional		$234.71	$318.38	$486.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $240.37 / $325.70 / $498.80	Professional		$240.37	$325.70	$498.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $316.56 / $422.40	Professional		$233.06	$316.56	$422.40
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 $231.06 / $324.93 / $573.38	Professional		$231.06	$324.93	$573.38