Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $98.56 / $145.88	Facility		$49.28	$98.56	$145.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $49.28 / $106.94	Professional		$46.91	$49.28	$106.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.92 / $115.32 / $320.32	Facility		$73.92	$115.32	$320.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $83.08	Professional		$49.28	$49.28	$83.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $83.78	Facility		$49.28	$49.28	$83.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $66.53	Professional		$49.28	$49.28	$66.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $46.49 / $49.28	Facility		$46.49	$46.49	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $59.54	Professional		$49.28	$49.28	$59.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $59.54	Professional		$49.28	$49.28	$59.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $59.24 / $68.99	Professional		$51.60	$59.24	$68.99
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $53.30	Professional		$49.28	$49.28	$53.30