Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $83.40 / $222.64	Facility		$74.45	$83.40	$222.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $75.84 / $182.43	Professional		$74.45	$75.84	$182.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $174.03 / $483.41	Facility		$111.56	$174.03	$483.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $96.40 / $155.22	Professional		$80.31	$96.40	$155.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $75.84 / $59,702.01	Facility		$75.84	$75.84	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Facility		$83.29	$83.29	$83.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $93.29	Professional		$83.29	$83.29	$93.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $93.29	Professional		$83.29	$83.29	$93.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $87.76 / $97.95	Professional		$70.65	$87.76	$97.95