Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.70 / $116.54 / $280.00	Facility		$55.70	$116.54	$280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $61.75 / $116.96	Professional		$55.70	$61.75	$116.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,398.00 / $2,170.00	Facility		$937.00	$1,398.00	$2,170.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $80.26 / $131.85	Professional		$52.63	$80.26	$131.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $45.59 / $97.11	Facility		$34.69	$45.59	$97.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $38.15 / $71.92	Professional		$33.76	$38.15	$71.92
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 $66.14 / $94.23 / $135.93	Professional		$66.14	$94.23	$135.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $96.49 / $135.93	Professional		$65.45	$96.49	$135.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $49.49 / $92.78	Professional		$31.30	$49.49	$92.78
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 $61.61 / $88.26 / $150.25	Professional		$61.61	$88.26	$150.25