Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.24 / $89.86 / $132.84	Facility		$39.24	$89.86	$132.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $43.41 / $94.85	Professional		$34.47	$43.41	$94.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.12 / $101.58 / $282.17	Facility		$65.12	$101.58	$282.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $73.18	Professional		$43.41	$43.41	$73.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $43.41 / $73.80	Facility		$43.41	$43.41	$73.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $58.60	Professional		$43.41	$43.41	$58.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $43.41	Facility		$40.95	$40.95	$43.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $80.23	Professional		$43.41	$43.41	$80.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $80.23	Professional		$43.41	$43.41	$80.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $54.26 / $70.09	Professional		$42.65	$54.26	$70.09
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $54.00	Professional		$43.41	$43.41	$54.00