Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $53.00	Facility		$30.00	$30.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $16.50	Professional		$10.00	$10.00	$16.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $61.43 / $61,249.39	Facility		$32.40	$61.43	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $40.15 / $49.61	Professional		$30.71	$40.15	$49.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $50.00	Professional		$35.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $188.65 / $188.65	Professional		$188.65	$188.65	$188.65