Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $25.43 / $102.00	Facility		$25.43	$25.43	$102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $25.43 / $41.81	Professional		$19.38	$25.43	$41.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.39 / $9.59	Professional		$4.25	$5.39	$9.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $327.36 / $669.60	Facility		$21.92	$327.36	$669.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $341.50 / $602.64	Professional		$22.77	$341.50	$602.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $32.07 / $32.07	Facility		$32.07	$32.07	$32.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $38.44 / $157.47	Professional		$32.57	$38.44	$157.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $38.44 / $38.44	Professional		$38.44	$38.44	$38.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $60.00	Professional		$35.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $18.51 / $19.67	Facility		$18.10	$18.51	$19.67
United Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $28.37 / $50.90	Professional		$18.91	$28.37	$50.90