Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $196.81 / $352.43	Facility		$91.54	$196.81	$352.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $31.92 / $89.34	Professional		$27.13	$31.92	$89.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.27 / $148.76 / $2,677.67	Facility		$97.27	$148.76	$2,677.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $250.37 / $3,168.72	Professional		$119.71	$250.37	$3,168.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $130.16 / $662.59	Facility		$56.35	$130.16	$662.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $164.68	Professional		$131.75	$131.75	$164.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $74.38 / $662.59	Facility		$56.35	$74.38	$662.59
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $166.72	Professional		$48.06	$68.66	$166.72