Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $31.42 / $159.82	Facility		$28.56	$31.42	$159.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $42.12 / $121.67	Professional		$28.56	$42.12	$121.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $51.47 / $81.31	Professional		$28.77	$51.47	$81.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $34.14 / $46.09	Facility		$25.61	$34.14	$46.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $48.48 / $48.48	Facility		$48.48	$48.48	$48.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $50.43 / $92.16	Professional		$35.85	$50.43	$92.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $50.31 / $88.07	Professional		$36.57	$50.31	$88.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $37.11 / $49.90	Professional		$27.57	$37.11	$49.90
United Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $56.06 / $93.52	Professional		$42.18	$56.06	$93.52