Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $30.48 / $1,077.00	Facility		$30.48	$30.48	$1,077.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $30.48 / $102.71	Professional		$22.16	$30.48	$102.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $31.71 / $51.75	Professional		$26.21	$31.71	$51.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.58 / $32.02 / $35.50	Facility		$29.58	$32.02	$35.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $40.82 / $54.11	Professional		$30.24	$40.82	$54.11
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $40.86 / $69.25	Professional		$25.92	$40.86	$69.25