Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $80.09 / $115.10	Professional		$48.40	$80.09	$115.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $80.18 / $141.69	Professional		$55.76	$80.18	$141.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $90.83 / $118.08	Professional		$69.43	$90.83	$118.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $64.09 / $79.31	Facility		$53.26	$64.09	$79.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $97.19 / $122.62	Professional		$88.69	$97.19	$122.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $92.17 / $92.17	Facility		$92.17	$92.17	$92.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $83.70 / $165.42	Professional		$51.28	$83.70	$165.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $83.70 / $163.40	Professional		$51.42	$83.70	$163.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $104.68 / $152.52	Professional		$69.83	$104.68	$152.52
United Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $82.58 / $139.93	Professional		$51.91	$82.58	$139.93