Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $28.64 / $41.57	Professional		$20.92	$28.64	$41.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $36.00 / $57.47	Professional		$26.12	$36.00	$57.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $37.43 / $48.35	Facility		$32.54	$37.43	$48.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $46.51 / $67.65	Professional		$42.28	$46.51	$67.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $56.16 / $56.16	Facility		$56.16	$56.16	$56.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $43.44 / $85.73	Professional		$30.97	$43.44	$85.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $44.57 / $85.73	Professional		$34.45	$44.57	$85.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $74.20 / $103.54	Professional		$52.54	$74.20	$103.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $41.42 / $103.03	Professional		$30.86	$41.42	$103.03