Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $152.28 / $186.82	Facility		$67.20	$152.28	$186.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $116.34	Professional		$67.20	$67.20	$116.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $60.07 / $87.79	Professional		$50.40	$60.07	$87.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.24 / $73.59 / $89.96	Facility		$60.24	$73.59	$89.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $84.00	Professional		$71.40	$71.40	$84.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $106.99	Professional		$71.40	$71.40	$106.99
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 $79.80 / $79.80 / $103.90	Professional		$79.80	$79.80	$103.90