Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $167.94 / $240.31	Facility		$77.39	$167.94	$240.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $78.16 / $184.68	Professional		$77.39	$78.16	$184.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.93 / $132.72 / $222.11	Facility		$77.93	$132.72	$222.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $130.47	Professional		$77.39	$77.39	$130.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $77.39 / $131.56	Facility		$77.39	$77.39	$131.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $104.48	Professional		$77.39	$77.39	$104.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $73.01 / $77.39	Facility		$73.01	$73.01	$77.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $113.82	Professional		$77.39	$77.39	$113.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $113.82	Professional		$77.39	$77.39	$113.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $96.73 / $112.08	Professional		$85.03	$96.73	$112.08
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $98.13	Professional		$77.39	$77.39	$98.13