Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $23.51 / $27.36	Professional		$15.71	$23.51	$27.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.93 / $39.90	Professional		$18.39	$22.93	$39.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $402.78 / $927.12	Facility		$28.02	$402.78	$927.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $472.83 / $834.41	Professional		$31.52	$472.83	$834.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $37.85 / $37.85	Professional		$37.85	$37.85	$37.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $37.85 / $37.85	Professional		$37.85	$37.85	$37.85
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 $22.05 / $29.11 / $56.29	Professional		$22.05	$29.11	$56.29