Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $73.55 / $196.35	Facility		$41.82	$73.55	$196.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $159.19	Professional		$65.67	$65.67	$159.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $128.19 / $196.11	Facility		$73.40	$128.19	$196.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $119.96	Professional		$66.06	$66.06	$119.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.09 / $99.09 / $29,293.71	Facility		$99.09	$99.09	$29,293.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $73.40 / $99.09	Professional		$65.67	$73.40	$99.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $113.68	Professional		$72.25	$72.25	$113.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $113.68	Professional		$72.25	$72.25	$113.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $91.75 / $106.43	Professional		$80.73	$91.75	$106.43
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $77.26 / $94.96	Professional		$69.73	$77.26	$94.96