Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $62.77 / $74.26	Professional		$40.84	$62.77	$74.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $95.67 / $176.42	Professional		$69.12	$95.67	$176.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $1,156.10 / $48,999.51	Facility		$77.06	$1,156.10	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $1,050.82 / $1,854.39	Professional		$70.05	$1,050.82	$1,854.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $94.64	Professional		$94.64	$94.64	$94.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $94.64	Professional		$94.64	$94.64	$94.64
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 $48.36 / $61.55 / $110.61	Professional		$48.36	$61.55	$110.61