Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.18 / $145.46 / $1,167.16	Facility		$101.18	$145.46	$1,167.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $80.61 / $101.18	Professional		$57.79	$80.61	$101.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $728.00 / $1,074.45	Professional		$650.00	$728.00	$1,074.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.87 / $255.87 / $312.72	Facility		$255.87	$255.87	$312.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.95 / $179.95 / $179.95	Facility		$179.95	$179.95	$179.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $93.09 / $93.09	Professional		$59.27	$93.09	$93.09