Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $77.44 / $487.00	Facility		$77.44	$77.44	$487.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $99.56 / $135.66	Professional		$77.44	$99.56	$135.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $73.83 / $117.53	Professional		$56.46	$73.83	$117.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $105.48 / $127.36	Facility		$85.75	$105.48	$127.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $111.48 / $198.47	Professional		$85.75	$111.48	$198.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $104.29 / $183.76	Professional		$64.25	$104.29	$183.76