Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $24.16 / $90.00	Facility		$24.16	$24.16	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $24.16 / $31.47	Professional		$24.16	$24.16	$31.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $34.93 / $56.15	Facility		$29.79	$34.93	$56.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $24.07 / $42.56	Professional		$22.93	$24.07	$42.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.69 / $36.10 / $42.56	Facility		$30.69	$36.10	$42.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $34.38 / $34.38	Professional		$34.38	$34.38	$34.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $38.22	Professional		$18.70	$18.70	$38.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $32.62 / $43.00	Professional		$29.66	$32.62	$43.00
United Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $32.74 / $32.74	Facility		$26.19	$32.74	$32.74
United Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $34.56 / $57.07	Professional		$11.83	$34.56	$57.07