Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $65.64 / $89.76	Facility		$28.38	$65.64	$89.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $28.38 / $78.90	Professional		$28.38	$28.38	$78.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $47.72	Professional		$30.08	$30.08	$47.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Facility		$30.08	$30.08	$30.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $40.22	Professional		$30.08	$30.08	$40.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $40.22	Professional		$30.08	$30.08	$40.22
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 $30.08 / $30.08 / $41.84	Professional		$30.08	$30.08	$41.84