Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $19.51 / $29.43	Professional		$13.94	$19.51	$29.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $23.66 / $38.61	Professional		$18.36	$23.66	$38.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $24.70 / $31.90	Facility		$21.48	$24.70	$31.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $32.04 / $46.62	Professional		$29.14	$32.04	$46.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Facility		$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $29.86 / $57.48	Professional		$20.41	$29.86	$57.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $30.64 / $57.48	Professional		$22.76	$30.64	$57.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $13.13 / $17.69	Professional		$11.16	$13.13	$17.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $27.47 / $71.53	Professional		$19.68	$27.47	$71.53