Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $61.54 / $112.24	Professional		$26.36	$61.54	$112.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $51.41 / $111.18	Professional		$32.43	$51.41	$111.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $38.22 / $43.66	Facility		$38.22	$38.22	$43.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $113.00 / $126.56	Professional		$90.40	$113.00	$126.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $70.89 / $143.38	Professional		$27.64	$70.89	$143.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $73.25 / $143.38	Professional		$27.64	$73.25	$143.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $113.16 / $156.10	Professional		$81.79	$113.16	$156.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $79.23 / $135.24	Professional		$29.41	$79.23	$135.24