Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $118.72 / $182.18	Facility		$54.71	$118.72	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $56.04 / $154.22	Professional		$54.71	$56.04	$154.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $95.55 / $157.02	Facility		$59.09	$95.55	$157.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $103.94	Professional		$54.71	$54.71	$103.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $93.01	Facility		$54.71	$54.71	$93.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $73.86	Professional		$54.71	$54.71	$73.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $51.61 / $54.71	Facility		$51.61	$51.61	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $95.64	Professional		$54.71	$54.71	$95.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $95.64	Professional		$54.71	$54.71	$95.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $71.03 / $80.44	Professional		$61.02	$71.03	$80.44
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $64.45	Professional		$54.71	$54.71	$64.45