Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $69.20 / $140.47	Facility		$29.45	$69.20	$140.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $29.45 / $39.85	Professional		$29.45	$29.45	$39.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.53 / $270.68 / $431.13	Professional		$205.53	$270.68	$431.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $432.84 / $954.80	Facility		$31.12	$432.84	$954.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $486.94 / $859.31	Professional		$27.65	$486.94	$859.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.14 / $264.75 / $528.41	Facility		$213.14	$264.75	$528.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $208.06 / $264.75 / $528.41	Facility		$208.06	$264.75	$528.41
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 $31.53 / $45.11 / $83.93	Professional		$31.53	$45.11	$83.93