Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $26.69 / $395.00	Facility		$26.69	$26.69	$395.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $26.69 / $31.49	Professional		$26.69	$26.69	$31.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $38.36 / $61.67	Facility		$32.72	$38.36	$61.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $15.43 / $44.95	Professional		$13.91	$15.43	$44.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $39.56 / $46.75	Facility		$39.56	$39.56	$46.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $37.76 / $37.76	Professional		$37.76	$37.76	$37.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $25.72	Professional		$16.14	$16.14	$25.72
United Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $24.33 / $44.56	Professional		$11.96	$24.33	$44.56