Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $128.86 / $141.75	Facility		$36.09	$128.86	$141.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $41.31 / $128.86	Professional		$20.00	$41.31	$128.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $88.40 / $136.32	Professional		$68.00	$88.40	$136.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.25 / $52,499.48 / $61,249.39	Facility		$107.25	$52,499.48	$61,249.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $154.65	Professional		$73.00	$73.00	$154.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $154.65	Professional		$73.00	$73.00	$154.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $12.51 / $12.51	Professional		$12.51	$12.51	$12.51