Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $51.84 / $128.27	Facility		$42.90	$51.84	$128.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $73.83	Professional		$42.90	$42.90	$73.83
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 $50.00 / $53.30 / $86.58	Professional		$50.00	$53.30	$86.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $20.39 / $42.14	Facility		$13.50	$20.39	$42.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $17.55 / $46.35	Professional		$14.18	$17.55	$46.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $74.12	Professional		$47.11	$47.11	$74.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $74.12	Professional		$47.11	$47.11	$74.12
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 $47.95 / $50.47 / $66.12	Professional		$47.95	$50.47	$66.12