Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $12.09 / $110.00	Facility		$12.09	$12.09	$110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $15.51	Professional		$12.09	$12.09	$15.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $86.40 / $125.19	Professional		$24.81	$86.40	$125.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $17.92 / $21.18	Facility		$17.92	$17.92	$21.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Professional		$17.10	$17.10	$17.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $13.55 / $22.43	Professional		$5.42	$13.55	$22.43