Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.37 / $210.37 / $210.37	Facility		$210.37	$210.37	$210.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $210.37 / $213.21	Professional		$173.86	$210.37	$213.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $13.75 / $40.09	Professional		$13.75	$13.75	$40.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $24.49 / $28.25	Facility		$24.49	$24.49	$28.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $32.02 / $39.54	Professional		$24.48	$32.02	$39.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.92 / $239.92 / $239.92	Facility		$239.92	$239.92	$239.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $329.53	Professional		$172.39	$172.39	$329.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $172.39	Professional		$172.39	$172.39	$172.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $27.27 / $32.08	Professional		$23.72	$27.27	$32.08
United Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $217.12 / $345.67	Professional		$155.24	$217.12	$345.67