Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $115.28 / $185.45	Facility		$44.55	$115.28	$185.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $46.22 / $133.52	Professional		$44.55	$46.22	$133.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $108.60 / $301.67	Facility		$69.62	$108.60	$301.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $9.06 / $60.24	Professional		$7.55	$9.06	$60.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.07 / $50,749.49 / $61,249.39	Facility		$7.07	$50,749.49	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Facility		$47.34	$47.34	$47.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $77.45	Professional		$47.34	$47.34	$77.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $77.45	Professional		$47.34	$47.34	$77.45
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 $46.41 / $46.41 / $60.43	Professional		$46.41	$46.41	$60.43