Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $66.89 / $149.00	Facility		$24.06	$66.89	$149.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $24.06 / $66.89	Professional		$24.02	$24.06	$66.89
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 $39.29 / $41.64 / $66.06	Professional		$39.29	$41.64	$66.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $22.98 / $37.92	Facility		$22.98	$22.98	$37.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $22.98	Professional		$22.98	$22.98	$22.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Facility		$41.64	$41.64	$41.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $63.04	Professional		$41.64	$41.64	$63.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $63.04	Professional		$41.64	$41.64	$63.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $52.05 / $60.37	Professional		$45.80	$52.05	$60.37
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $61.38	Professional		$47.14	$47.14	$61.38