Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $93.28 / $93.28	Professional		$59.18	$93.28	$93.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.81 / $22.81 / $22.81	Professional	52	$22.81	$22.81	$22.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $127.03 / $187.24	Professional		$77.42	$127.03	$187.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $72.06 / $133.06	Professional		$55.44	$72.06	$133.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $90.00	Professional		$55.95	$55.95	$90.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $53.97 / $76.61	Professional		$41.25	$53.97	$76.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $48.65 / $112.59	Professional		$23.68	$48.65	$112.59