Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $293.00 / $379.96	Facility		$120.14	$293.00	$379.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $120.14 / $333.99	Professional		$120.14	$120.14	$333.99
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 $63.43 / $73.56 / $125.15	Professional		$63.43	$73.56	$125.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $53.93 / $72.81	Facility		$53.93	$53.93	$72.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $200.84	Professional		$63.43	$63.43	$200.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $200.84	Professional		$63.43	$63.43	$200.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $135.36	Professional		$125.15	$125.15	$135.36