Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $6,582.00 / $11,627.00	Facility		$24.23	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $24.23 / $44.70	Professional		$24.23	$24.23	$44.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $37.95 / $69.95	Professional		$29.35	$37.95	$69.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $28.26 / $34.97	Facility		$23.55	$28.26	$34.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $25.91 / $33.27	Professional		$25.91	$25.91	$33.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $34.64 / $50.95	Professional		$25.09	$34.64	$50.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $36.13 / $50.95	Professional		$25.43	$36.13	$50.95
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 $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $32.95 / $56.63	Professional		$23.39	$32.95	$56.63