Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $40.40 / $65.00	Facility		$19.52	$40.40	$65.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $19.72 / $48.29	Professional		$17.37	$19.72	$48.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $34.09 / $56.02	Facility		$21.08	$34.09	$56.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $32.90	Professional		$19.52	$19.52	$32.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $19.52 / $33.18	Facility		$19.52	$19.52	$33.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $26.35	Professional		$19.52	$19.52	$26.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $18.42 / $19.52	Facility		$18.42	$18.42	$19.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $29.56	Professional		$19.52	$19.52	$29.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $29.56	Professional		$19.52	$19.52	$29.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $24.31 / $28.30	Professional		$19.10	$24.31	$28.30
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $21.89	Professional		$19.52	$19.52	$21.89