Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $118.73 / $162.38	Facility		$51.34	$118.73	$162.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $51.34 / $142.72	Professional		$51.34	$51.34	$142.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $132.02 / $366.73	Facility		$84.63	$132.02	$366.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $59.81 / $98.68	Professional		$59.81	$59.81	$98.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $80.73 / $137.26	Facility		$80.73	$80.73	$137.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $59.81 / $80.73	Professional		$59.81	$59.81	$80.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $85.83	Professional		$54.55	$54.55	$85.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $85.83	Professional		$54.55	$54.55	$85.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $74.76 / $86.72	Professional		$65.79	$74.76	$86.72
United Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $56.42 / $61.02	Professional		$56.31	$56.42	$61.02