Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $8,553.00 / $11,627.00	Facility		$80.06	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $139.68	Professional		$80.06	$80.06	$139.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $108.01 / $169.86	Professional		$76.50	$108.01	$169.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $55.20 / $105.49	Facility		$17.23	$55.20	$105.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $59.53 / $99.85	Professional		$18.60	$59.53	$99.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $108.49 / $160.12	Professional		$78.14	$108.49	$160.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $108.95 / $154.07	Professional		$78.14	$108.95	$154.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $42.34 / $54.86	Professional		$35.58	$42.34	$54.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,141.00 / $6,636.00	Facility		$1,771.00	$3,141.00	$6,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $104.58 / $166.62	Professional		$79.87	$104.58	$166.62