Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $35.65 / $41.55	Professional		$23.96	$35.65	$41.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.39 / $39.27	Professional		$18.39	$22.39	$39.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $617.73 / $1,421.90	Facility		$42.97	$617.73	$1,421.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $725.16 / $1,279.70	Professional		$48.34	$725.16	$1,279.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $57.74 / $57.74	Professional		$57.74	$57.74	$57.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $57.74 / $57.74	Professional		$57.74	$57.74	$57.74
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 $29.05 / $37.35 / $69.31	Professional		$29.05	$37.35	$69.31