Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $102.09 / $124.59	Facility		$70.34	$102.09	$124.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $70.34 / $115.82	Professional		$36.96	$70.34	$115.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $21.35 / $61.68	Professional		$11.01	$21.35	$61.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.53 / $99.80 / $99.80	Facility		$68.53	$99.80	$99.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $73.91 / $73.91	Professional		$47.26	$73.91	$73.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $77.41 / $129.46	Professional		$48.56	$77.41	$129.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $80.62 / $141.18	Professional		$48.56	$80.62	$141.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $71.16 / $104.07	Professional		$50.97	$71.16	$104.07
United Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $61.79 / $115.52	Professional		$32.35	$61.79	$115.52