Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $43.96 / $64.50	Professional		$33.50	$43.96	$64.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.10 / $18.76 / $25.56	Professional	52	$17.10	$18.76	$25.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $39.93 / $74.95	Professional		$32.82	$39.93	$74.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $39.51 / $66.93	Professional		$30.89	$39.51	$66.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $151.07 / $212.17	Professional		$104.47	$151.07	$212.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $130.57 / $212.17	Professional		$74.80	$130.57	$212.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $33.88 / $49.47	Professional		$25.48	$33.88	$49.47
United Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $46.66 / $86.74	Professional		$30.36	$46.66	$86.74