Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $101.98 / $171.00	Facility		$96.99	$101.98	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $96.99 / $118.68	Professional		$47.72	$96.99	$118.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $76.40 / $132.47	Professional		$59.58	$76.40	$132.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $112.00 / $13,825.90	Facility		$41.41	$112.00	$13,825.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $82.95 / $162.41	Professional		$44.66	$82.95	$162.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.73 / $125.73 / $125.73	Facility		$125.73	$125.73	$125.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $124.86 / $258.39	Professional		$93.87	$124.86	$258.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $124.84 / $201.29	Professional		$89.62	$124.84	$201.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $33.35 / $61.41	Professional		$19.84	$33.35	$61.41
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $94.76 / $157.13	Professional		$66.33	$94.76	$157.13