Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $164.43 / $224.87	Facility		$71.09	$164.43	$224.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $197.66	Professional		$71.09	$71.09	$197.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.61 / $2.31	Professional		$1.40	$1.61	$2.31
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 $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $118.87	Professional		$75.55	$75.55	$118.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $118.87	Professional		$75.55	$75.55	$118.87
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 $88.88 / $88.88 / $95.19	Professional		$88.88	$88.88	$95.19