Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $34.63 / $113.09	Facility		$20.00	$34.63	$113.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $16.73 / $27.03	Professional		$12.46	$16.73	$27.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $55.11 / $62.96	Facility		$42.39	$55.11	$62.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $44.51	Professional		$10.14	$10.14	$44.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $28.91	Professional		$28.91	$28.91	$28.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $28.91	Professional		$28.91	$28.91	$28.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $50.00	Professional		$34.54	$34.54	$50.00