Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.28 / $2,547.00 / $10,635.00	Facility		$203.28	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $203.28 / $284.58	Professional		$104.81	$203.28	$284.58
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 $122.04 / $229.59 / $370.81	Professional		$122.04	$229.59	$370.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.33 / $139.33 / $139.33	Facility		$139.33	$139.33	$139.33
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 $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $229.98 / $314.30	Professional		$164.76	$229.98	$314.30
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 $213.63 / $321.29 / $479.33	Professional		$213.63	$321.29	$479.33