Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.35 / $59.35 / $205.00	Facility		$59.35	$59.35	$205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $57.59 / $63.00	Professional		$35.42	$57.59	$63.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $3,301.91 / $7,122.24	Professional		$88.98	$3,301.91	$7,122.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $500.90 / $1,414.30	Facility		$60.44	$500.90	$1,414.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $600.29 / $1,560.48	Professional		$60.44	$600.29	$1,560.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $70.30 / $70.30	Facility		$70.30	$70.30	$70.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $88.66 / $294.64	Professional		$80.67	$88.66	$294.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $94.12 / $94.12	Professional		$94.12	$94.12	$94.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Facility		$25.46	$25.46	$25.46
United Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $68.72 / $117.54	Professional		$48.50	$68.72	$117.54