Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $104.80 / $285.00	Facility		$54.34	$104.80	$285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $54.34 / $194.38	Professional		$54.34	$54.34	$194.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $69.98 / $119.24	Professional		$55.00	$69.98	$119.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.97 / $48.97 / $71.31	Facility		$48.97	$48.97	$71.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $52.81 / $52.81	Professional		$41.93	$52.81	$52.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $76.39 / $112.18	Professional		$55.21	$76.39	$112.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $76.39 / $108.41	Professional		$57.61	$76.39	$108.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $40.43 / $53.95	Professional		$30.24	$40.43	$53.95
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $4,132.00	Facility		$444.00	$979.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $72.31 / $110.52	Professional		$55.11	$72.31	$110.52