Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $77.06 / $105.40	Facility		$33.33	$77.06	$105.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $33.33 / $92.66	Professional		$33.33	$33.33	$92.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $81.23 / $225.68	Facility		$52.08	$81.23	$225.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $35.27 / $55.11	Professional		$32.69	$35.27	$55.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $4.51	Facility		$2.65	$2.65	$4.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $55.71	Professional		$35.40	$35.40	$55.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $55.71	Professional		$35.40	$35.40	$55.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $40.86 / $47.40	Professional		$35.95	$40.86	$47.40
United Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $64.70 / $64.70	Facility		$64.70	$64.70	$64.70
United Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.72 / $45.21	Professional		$34.65	$34.72	$45.21