Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $268.24 / $398.76	Facility		$48.00	$268.24	$398.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $345.60	Professional		$38.00	$48.00	$345.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $260.00 / $324.00	Professional		$168.00	$260.00	$324.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $102.91 / $300.00	Facility		$39.00	$102.91	$300.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $106.87 / $232.50	Professional		$41.98	$106.87	$232.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $190.95 / $264.66	Professional		$129.00	$190.95	$264.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $186.00 / $257.04	Professional		$126.00	$186.00	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $52.56	Professional		$27.96	$27.96	$52.56
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $58.00 / $81.81	Professional		$40.00	$58.00	$81.81