Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $88.80 / $121.44	Facility		$38.40	$88.80	$121.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $38.40 / $106.75	Professional		$38.40	$38.40	$106.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $42.40 / $67.26	Professional		$40.00	$42.40	$67.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $8.55 / $14.11	Facility		$8.55	$8.55	$14.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Professional		$8.55	$8.55	$8.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $64.19	Professional		$42.40	$42.40	$64.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $64.19	Professional		$42.40	$42.40	$64.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $53.00 / $61.48	Professional		$46.64	$53.00	$61.48
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $69.56	Professional		$50.00	$50.00	$69.56