Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $273.20 / $605.49	Professional		$42.27	$273.20	$605.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $9.88 / $29.01	Professional		$7.70	$9.88	$29.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $1,100.26 / $2,647.70	Facility		$80.02	$1,100.26	$2,647.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $1,350.32 / $2,382.92	Professional		$90.02	$1,350.32	$2,382.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.70 / $420.70 / $420.70	Professional		$420.70	$420.70	$420.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $420.70 / $420.70 / $420.70	Professional		$420.70	$420.70	$420.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $48.73 / $89.60	Professional		$37.90	$48.73	$89.60