Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $140.90 / $1,711.15	Facility		$61.80	$140.90	$1,711.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $62.40 / $105.98	Professional		$61.79	$62.40	$105.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $107.93 / $177.37	Facility		$66.73	$107.93	$177.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $62.15 / $104.19	Professional		$61.80	$62.15	$104.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $105.06	Facility		$61.80	$61.80	$105.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $83.43	Professional		$61.80	$61.80	$83.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $61.80	Facility		$55.28	$55.28	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $373.58	Professional		$61.80	$61.80	$373.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $373.58	Professional		$61.80	$61.80	$373.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.36 / $87.01 / $119.79	Professional		$68.36	$87.01	$119.79
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $85.97	Professional		$61.80	$61.80	$85.97