Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $24.56 / $57.89	Facility		$19.36	$24.56	$57.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.36 / $33.32	Professional		$19.35	$19.36	$33.32
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 $19.48 / $21.64 / $33.74	Professional		$19.48	$21.64	$33.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $50,749.49 / $61,249.39	Facility		$29.21	$50,749.49	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $21.64	Professional		$21.64	$21.64	$21.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Facility		$21.40	$21.40	$21.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $33.67	Professional		$21.40	$21.40	$33.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $33.67	Professional		$21.40	$21.40	$33.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $27.05 / $31.37	Professional		$23.80	$27.05	$31.37
United Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $22.78 / $28.00	Professional		$21.64	$22.78	$28.00