Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.36 / $2,181.00 / $10,268.00	Facility		$159.36	$2,181.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $159.36 / $254.23	Professional		$64.18	$159.36	$254.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $159.59 / $294.48	Professional		$74.14	$159.59	$294.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $79.80 / $79.80	Facility		$54.80	$79.80	$79.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $149.53 / $149.53	Professional		$145.61	$149.53	$149.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $145.34 / $279.89	Professional		$62.82	$145.34	$279.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $145.34 / $275.33	Professional		$62.82	$145.34	$275.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $182.74 / $262.75	Professional		$137.47	$182.74	$262.75
United Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $183.28 / $341.33	Professional		$131.11	$183.28	$341.33