Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $122.46	Professional		$48.75	$48.75	$122.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $58.91 / $94.68	Professional		$44.71	$58.91	$94.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $59,499.41 / $72,899.27	Facility		$43,749.56	$59,499.41	$72,899.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.63 / $475.66 / $709.46	Professional		$396.63	$475.66	$709.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $396.63 / $396.63	Professional		$165.60	$396.63	$396.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00