Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.61 / $144.47	Facility		$126.00	$126.61	$144.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $126.61	Professional		$80.06	$80.06	$126.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.60 / $49.59	Professional		$30.00	$33.60	$49.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.72 / $89.72 / $109.66	Facility		$89.72	$89.72	$109.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $101.34 / $101.34	Professional		$101.34	$101.34	$101.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $101.34 / $101.34	Professional		$101.34	$101.34	$101.34
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 Facility Modifier Low / Median / High Price $117.84 / $117.84 / $117.84	Facility		$117.84	$117.84	$117.84
United Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $42.29 / $42.29	Professional		$42.29	$42.29	$42.29