Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $31.13 / $129.80	Facility		$23.35	$31.13	$129.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $36.86 / $62.80	Professional		$23.35	$36.86	$62.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $7.82 / $7.82 / $7.82	Professional	25	$7.82	$7.82	$7.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $33.06 / $52.44	Professional		$27.29	$33.06	$52.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $46.55 / $55.31	Facility		$37.24	$46.55	$55.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.41 / $89.38	Professional		$30.90	$48.41	$89.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $49.87 / $72.01	Professional		$39.47	$49.87	$72.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $56.71 / $72.01	Professional		$39.47	$56.71	$72.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $35.58 / $45.28	Professional		$27.49	$35.58	$45.28
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $49.18 / $69.11	Professional		$38.04	$49.18	$69.11