Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $65.48 / $78.42	Facility		$65.48	$65.48	$78.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $72.98 / $83.89	Professional		$62.49	$72.98	$83.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $99.13 / $164.71	Professional		$72.15	$99.13	$164.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.01 / $60.01 / $81.06	Facility		$60.01	$60.01	$81.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $76.56 / $76.56	Professional		$76.56	$76.56	$76.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $104.01 / $213.82	Professional		$81.16	$104.01	$213.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $97.72 / $148.35	Professional		$81.16	$97.72	$148.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $85.21 / $144.52	Professional		$65.14	$85.21	$144.52
United Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $110.03 / $163.66	Professional		$76.98	$110.03	$163.66