Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $34.25 / $60.00	Professional		$22.67	$34.25	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $34.97 / $64.48	Professional		$29.72	$34.97	$64.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $552.79 / $1,219.40	Facility		$39.92	$552.79	$1,219.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $621.89 / $1,097.45	Professional		$41.46	$621.89	$1,097.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $47.80 / $47.80	Professional		$47.80	$47.80	$47.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $47.80 / $47.80	Professional		$47.80	$47.80	$47.80
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 $17.52 / $22.28 / $41.30	Professional		$17.52	$22.28	$41.30