Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $49.00 / $91.40	Facility		$28.29	$49.00	$91.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $33.00 / $54.91	Professional		$30.57	$33.00	$54.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $59.68 / $91.50	Facility		$34.17	$59.68	$91.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $55.84	Professional		$30.75	$30.75	$55.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.13 / $46.13 / $29,293.71	Facility		$46.13	$46.13	$29,293.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $34.17 / $46.13	Professional		$30.57	$34.17	$46.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Facility		$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $53.04	Professional		$33.71	$33.71	$53.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $53.04	Professional		$33.71	$33.71	$53.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $42.71 / $49.54	Professional		$37.58	$42.71	$49.54
United Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $35.97 / $44.76	Professional		$32.46	$35.97	$44.76