Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $245.40 / $310.43	Facility		$98.16	$245.40	$310.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $272.89	Professional		$98.16	$98.16	$272.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $171.96	Professional		$108.39	$108.39	$171.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $24.16 / $39.86	Facility		$24.16	$24.16	$39.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $24.16 / $24.16	Professional		$24.16	$24.16	$24.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $164.10	Professional		$108.39	$108.39	$164.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $164.10	Professional		$108.39	$108.39	$164.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $135.48 / $157.16	Professional		$119.22	$135.48	$157.16
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $132.71	Professional		$122.70	$122.70	$132.71