Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $30.15 / $74.59	Facility		$24.95	$30.15	$74.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $74.59	Professional		$24.95	$24.95	$74.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $44.55	Professional		$27.00	$27.00	$44.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $52,499.48 / $61,249.39	Facility		$20.04	$52,499.48	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Facility		$27.68	$27.68	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $43.55	Professional		$27.68	$27.68	$43.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $43.55	Professional		$27.68	$27.68	$43.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $29.35 / $38.45	Professional		$27.88	$29.35	$38.45