Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.18 / $108.82 / $483.00	Facility		$73.18	$108.82	$483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $84.15 / $183.25	Professional		$73.18	$84.15	$183.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.25 / $152.50 / $269.37	Professional		$105.25	$152.50	$269.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $104.46 / $129.30	Facility		$86.65	$104.46	$129.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $95.76 / $104.00	Professional		$95.76	$95.76	$104.00
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 $91.11 / $135.24 / $188.05	Professional		$91.11	$135.24	$188.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $135.24 / $192.44	Professional		$95.76	$135.24	$192.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $159.46 / $212.56	Professional		$119.28	$159.46	$212.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $117.24 / $192.57	Professional		$86.10	$117.24	$192.57