Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.19 / $2,471.00 / $10,268.00	Facility		$74.19	$2,471.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $70.15 / $155.38	Professional		$49.89	$70.15	$155.38
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 $44.34 / $75.51 / $153.97	Professional		$44.34	$75.51	$153.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.99 / $63.59 / $78.70	Facility		$52.99	$63.59	$78.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $76.15	Professional		$58.29	$58.29	$76.15
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 $60.72 / $85.92 / $159.85	Professional		$60.72	$85.92	$159.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $87.53 / $178.12	Professional		$61.86	$87.53	$178.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $77.91 / $104.44	Professional		$56.31	$77.91	$104.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $83.06 / $147.30	Professional		$55.89	$83.06	$147.30