Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $46.61 / $71.53	Facility		$21.48	$46.61	$71.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.62 / $62.88	Professional		$21.48	$22.62	$62.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $37.51 / $61.65	Facility		$23.20	$37.51	$61.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $37.19	Professional		$21.48	$21.48	$37.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $36.52	Facility		$21.48	$21.48	$36.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $29.00	Professional		$21.48	$21.48	$29.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $20.27 / $21.48	Facility		$20.27	$20.27	$21.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $81.77	Professional		$21.48	$21.48	$81.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $81.77	Professional		$21.48	$21.48	$81.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $29.13 / $32.79	Professional		$24.88	$29.13	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $28.14	Professional		$21.48	$21.48	$28.14