Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $101.72 / $312.69	Facility		$76.29	$101.72	$312.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $94.31 / $146.09	Professional		$76.29	$94.31	$146.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $78.45 / $139.13	Professional		$62.76	$78.45	$139.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.85 / $153.08 / $181.88	Facility		$91.85	$153.08	$181.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $73.34 / $134.71	Professional		$73.34	$73.34	$134.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $128.58 / $175.30	Professional		$94.72	$128.58	$175.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $128.58 / $175.30	Professional		$94.72	$128.58	$175.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $137.41 / $170.78	Professional		$106.59	$137.41	$170.78
United Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $107.19 / $171.85	Professional		$78.56	$107.19	$171.85