Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $350.00	Facility		$57.67	$57.67	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $102.35 / $164.12	Professional		$89.00	$102.35	$164.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.67 / $183.67 / $224.48	Facility		$183.67	$183.67	$224.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $181.16 / $181.16	Professional		$17.64	$181.16	$181.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $104.86 / $104.86	Professional		$17.64	$104.86	$104.86
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 $52.43 / $83.89 / $111.85	Professional		$52.43	$83.89	$111.85