Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $111.62 / $206.02	Facility		$58.47	$111.62	$206.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $58.47 / $168.62	Professional		$58.47	$58.47	$168.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $71.58 / $121.41	Professional		$56.94	$71.58	$121.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $52.64 / $76.65	Facility		$52.64	$52.64	$76.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $56.77 / $56.77	Professional		$43.42	$56.77	$56.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $79.53 / $116.27	Professional		$59.35	$79.53	$116.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $79.53 / $113.54	Professional		$61.60	$79.53	$113.54
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 $58.42 / $75.72 / $124.07	Professional		$58.42	$75.72	$124.07