Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $74.61 / $225.17	Facility		$31.35	$74.61	$225.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $87.15	Professional		$31.35	$31.35	$87.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $76.42 / $212.29	Facility		$48.99	$76.42	$212.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $40.22 / $65.17	Professional		$33.31	$40.22	$65.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.57 / $56.89 / $69.53	Facility		$46.57	$56.89	$69.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $39.19	Professional		$33.31	$33.31	$39.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $49.91	Professional		$33.31	$33.31	$49.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $140.96 / $226.30	Professional		$129.93	$140.96	$226.30
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $42.52	Professional		$32.65	$32.65	$42.52