Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $36.75 / $156.00	Facility		$27.17	$36.75	$156.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $36.75 / $48.90	Professional		$27.17	$36.75	$48.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $39.68 / $63.84	Professional		$27.30	$39.68	$63.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $31.35 / $45.14	Facility		$25.08	$31.35	$45.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $45.53 / $77.97	Professional		$32.44	$45.53	$77.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $46.13 / $76.76	Professional		$32.46	$46.13	$76.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.16 / $101.99	Professional		$52.98	$71.16	$101.99
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $55.74 / $85.36	Professional		$40.42	$55.74	$85.36