Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $214.27 / $281.41	Facility		$78.98	$214.27	$281.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $79.98 / $101.11	Professional		$78.98	$79.98	$101.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $89.25 / $133.16	Professional		$78.98	$89.25	$133.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.97 / $119.97 / $59,702.01	Facility		$119.97	$119.97	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $119.97 / $119.97	Professional		$88.87	$119.97	$119.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Facility		$83.93	$83.93	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $88.87 / $104.30	Professional		$83.93	$88.87	$104.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $88.87 / $150.41	Professional		$88.13	$88.87	$150.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $98.74 / $118.69	Professional		$98.55	$98.74	$118.69