Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $8,912.51 / $11,748.98	Facility		$53.70	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $131.83	Professional		$47.86	$54.95	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $131.83	Professional		$53.70	$77.62	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $61.66	Facility		$51.29	$53.70	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $72.44 / $89.13	Facility		$43.65	$72.44	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $109.65	Professional		$52.48	$72.44	$109.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $109.65	Professional		$54.95	$72.44	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $107.15	Professional		$47.86	$58.88	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $117.49	Professional		$45.71	$66.07	$117.49