Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $121.24 / $375.37	Facility		$46.40	$121.24	$375.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $46.40 / $83.73	Professional		$46.40	$46.40	$83.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $63.80 / $102.64	Facility		$51.21	$63.80	$102.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $28.64 / $63.88	Professional		$28.64	$28.64	$63.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $58.00 / $78.30	Facility		$46.55	$58.00	$78.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $75.40 / $78.30	Professional		$49.30	$75.40	$78.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $83.12 / $84.42	Professional		$66.48	$83.12	$84.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $97.22 / $97.22	Professional		$97.22	$97.22	$97.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $52.20 / $71.77	Professional		$43.50	$52.20	$71.77
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.89 / $81.02	Professional		$24.36	$34.89	$81.02