Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $47.48 / $88.94	Professional		$17.48	$47.48	$88.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $40.29 / $91.94	Professional		$19.63	$40.29	$91.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $29.11	Facility		$25.48	$25.48	$29.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $91.18 / $102.12	Professional		$72.94	$91.18	$102.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $33.93 / $33.93	Facility		$33.93	$33.93	$33.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $56.80 / $114.32	Professional		$18.32	$56.80	$114.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $57.03 / $114.63	Professional		$18.34	$57.03	$114.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $73.75 / $105.24	Professional		$54.21	$73.75	$105.24
United Facility/Professional Facility Modifier Low / Median / High Price $31.38 / $31.38 / $31.38	Facility		$31.38	$31.38	$31.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $67.39 / $119.08	Professional		$42.73	$67.39	$119.08