Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $80.50 / $117.67	Facility		$53.84	$80.50	$117.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.22 / $119.13	Professional		$69.20	$69.22	$119.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $135.11 / $206.66	Facility		$77.36	$135.11	$206.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $69.62 / $123.77	Professional		$69.62	$69.62	$123.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $104.44 / $177.55	Facility		$104.44	$104.44	$177.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $77.36 / $104.44	Professional		$77.36	$77.36	$104.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $119.80	Professional		$76.14	$76.14	$119.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $119.80	Professional		$76.14	$76.14	$119.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $96.70 / $112.17	Professional		$85.09	$96.70	$112.17
United Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $81.43 / $100.09	Professional		$73.48	$81.43	$100.09