Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.59 / $229.00 / $5,170.39	Facility		$62.59	$229.00	$5,170.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $62.88 / $76.70	Professional		$52.85	$62.88	$76.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $96.60 / $154.90	Professional		$84.00	$96.60	$154.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $78.73 / $94.49	Facility		$62.99	$78.73	$94.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $81.89 / $147.27	Professional		$71.70	$81.89	$147.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $99.10 / $99.10	Professional		$99.10	$99.10	$99.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $0.94 / $0.94	Facility		$0.94	$0.94	$0.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00