Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $30.32 / $35.65	Professional		$21.25	$30.32	$35.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.72 / $39.90	Professional		$18.39	$22.72	$39.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $479.02 / $1,102.61	Facility		$33.32	$479.02	$1,102.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $562.33 / $992.36	Professional		$37.49	$562.33	$992.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $48.27 / $48.27	Professional		$48.27	$48.27	$48.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $48.27 / $48.27	Professional		$48.27	$48.27	$48.27
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 $16.23 / $23.60 / $45.81	Professional		$16.23	$23.60	$45.81