Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $108.39 / $186.82	Facility		$49.95	$108.39	$186.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $67.20 / $152.85	Professional		$49.95	$67.20	$152.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.93 / $116.88 / $324.68	Facility		$74.93	$116.88	$324.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $94.90	Professional		$49.95	$49.95	$94.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $84.92	Facility		$49.95	$49.95	$84.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $67.43	Professional		$49.95	$49.95	$67.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $49.95	Facility		$47.12	$47.12	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $52.91	Professional		$49.95	$49.95	$52.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $55.03	Professional		$49.95	$49.95	$55.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $72.42 / $94.08	Professional		$59.20	$72.42	$94.08
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $65.43	Professional		$49.95	$49.95	$65.43