Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $138.00	Facility		$12.81	$12.81	$138.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $12.81 / $15.11	Professional		$12.81	$12.81	$15.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $18.41 / $29.58	Facility		$15.70	$18.41	$29.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $7.40 / $21.56	Professional		$6.67	$7.40	$21.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $18.98 / $22.43	Facility		$18.98	$18.98	$22.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $12.34	Professional		$10.19	$10.19	$12.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $13.26 / $22.21	Professional		$5.74	$13.26	$22.21