Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $56.24 / $76.48	Professional		$42.03	$56.24	$76.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $57.58 / $109.52	Professional		$45.44	$57.58	$109.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.81 / $96.81 / $96.81	Facility		$96.81	$96.81	$96.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $86.93 / $86.93	Professional		$86.93	$86.93	$86.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.58 / $112.58 / $112.58	Facility		$112.58	$112.58	$112.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $83.24 / $171.75	Professional		$62.28	$83.24	$171.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $86.94 / $171.75	Professional		$69.38	$86.94	$171.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $74.20 / $103.54	Professional		$52.54	$74.20	$103.54
United Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $78.95 / $194.07	Professional		$49.91	$78.95	$194.07