Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $35.68 / $91.02	Facility		$30.44	$35.68	$91.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $51.75	Professional		$30.44	$30.44	$51.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $69.83 / $193.96	Facility		$44.76	$69.83	$193.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $34.65 / $58.43	Professional		$29.84	$34.65	$58.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $66.61	Facility		$40.36	$40.36	$66.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Professional		$40.36	$40.36	$40.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Facility		$33.42	$33.42	$33.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $52.58	Professional		$33.42	$33.42	$52.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $52.58	Professional		$33.42	$33.42	$52.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.12 / $43.32 / $50.25	Professional		$38.12	$43.32	$50.25
United Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $35.81 / $40.79	Professional		$30.74	$35.81	$40.79