Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $4,723.00 / $11,627.00	Facility		$33.90	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $79.68	Professional		$33.90	$33.90	$79.68
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 $37.72 / $55.20 / $90.36	Professional		$37.72	$55.20	$90.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $47.80 / $59.15	Facility		$39.82	$47.80	$59.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $43.81 / $53.50	Professional		$43.81	$43.81	$53.50
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 $41.82 / $61.74 / $83.67	Professional		$41.82	$61.74	$83.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $62.03 / $84.04	Professional		$43.82	$62.03	$84.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.90 / $54.43	Professional		$32.34	$40.90	$54.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $53.51 / $90.88	Professional		$39.64	$53.51	$90.88