Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $37.07 / $50.70	Facility		$16.03	$37.07	$50.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.03 / $44.56	Professional		$16.03	$16.03	$44.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.84 / $28.64	Professional		$16.98	$17.84	$28.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $26.79	Professional		$16.98	$16.98	$26.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $26.79	Professional		$16.98	$16.98	$26.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $21.46	Professional		$20.04	$20.04	$21.46