Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $194.06 / $312.19	Facility		$75.00	$194.06	$312.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $208.50	Professional		$75.00	$75.00	$208.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.69 / $126.12	Professional		$79.50	$79.69	$126.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $64.83 / $87.52	Facility		$64.83	$64.83	$87.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $125.38	Professional		$79.50	$79.50	$125.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $125.38	Professional		$79.50	$79.50	$125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $118.08	Professional		$90.69	$90.69	$118.08