Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $93.95 / $1,614.73	Facility		$27.88	$93.95	$1,614.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $27.88 / $35.19	Professional		$27.88	$27.88	$35.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $40.32 / $64.81	Facility		$34.39	$40.32	$64.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $24.07 / $48.04	Professional		$22.93	$24.07	$48.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $41.76 / $53.00	Facility		$34.13	$41.76	$53.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $39.68 / $39.68	Professional		$39.68	$39.68	$39.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $38.22	Professional		$25.50	$25.50	$38.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $176.00 / $232.00	Professional		$160.00	$176.00	$232.00
United Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $38.88 / $45.74	Facility		$38.88	$38.88	$45.74
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $34.56 / $57.42	Professional		$13.06	$34.56	$57.42