Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $19.27 / $30.38	Professional		$15.53	$19.27	$30.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $131.22 / $259.47	Professional		$22.10	$131.22	$259.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $28.51 / $28.51	Facility		$28.51	$28.51	$28.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $23.99 / $26.87	Professional		$19.19	$23.99	$26.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $24.24 / $24.24	Facility		$24.24	$24.24	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $24.95 / $105.63	Professional		$15.59	$24.95	$105.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $24.95 / $105.63	Professional		$16.30	$24.95	$105.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $36.09 / $39.28	Professional		$34.34	$36.09	$39.28
United Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $19.88 / $81.53	Professional		$14.65	$19.88	$81.53