Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $53.00	Facility		$31.00	$31.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $29.61 / $35.65	Professional		$15.59	$29.61	$35.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $6.25 / $13.89	Professional		$4.25	$6.25	$13.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $617.21 / $1,272.99	Facility		$41.15	$617.21	$1,272.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $694.35 / $1,225.33	Professional		$46.29	$694.35	$1,225.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $21,571.00	Facility		$40.54	$40.54	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $48.50 / $169.95	Professional		$35.29	$48.50	$169.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $169.95	Professional		$35.29	$35.29	$169.95
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 $2.40 / $18.27 / $39.50	Professional		$2.40	$18.27	$39.50