Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $85.00	Facility		$18.30	$18.30	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $21.59	Professional		$18.30	$18.30	$21.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $26.31 / $42.29	Facility		$22.44	$26.31	$42.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.59 / $30.82	Professional		$9.55	$10.59	$30.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $27.13 / $32.06	Facility		$27.13	$27.13	$32.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $25.89 / $25.89	Professional		$25.89	$25.89	$25.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $20.35 / $20.35	Professional		$17.64	$20.35	$20.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $18.53 / $30.56	Professional		$8.19	$18.53	$30.56