Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $16.68 / $44.52	Facility		$15.17	$16.68	$44.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $15.17 / $44.52	Professional		$14.89	$15.17	$44.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $34.79 / $96.66	Facility		$22.31	$34.79	$96.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.94 / $25.07	Professional		$12.00	$12.94	$25.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $37.89 / $47,249.53	Facility		$37.89	$37.89	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $28.07 / $28.07	Professional		$28.07	$28.07	$28.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Facility		$16.64	$16.64	$16.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $24.99	Professional		$16.64	$16.64	$24.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $24.99	Professional		$16.64	$16.64	$24.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $50.24 / $59.50	Professional		$39.29	$50.24	$59.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $18.07 / $23.60	Professional		$14.55	$18.07	$23.60