Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $39.92 / $54.46	Facility		$18.44	$39.92	$54.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $19.18 / $56.78	Professional		$17.86	$19.18	$56.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $43.15 / $119.86	Facility		$27.66	$43.15	$119.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $31.08	Professional		$18.44	$18.44	$31.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $31.35	Facility		$18.44	$18.44	$31.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $24.89	Professional		$18.44	$18.44	$24.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $17.39 / $18.44	Facility		$17.39	$17.39	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $28.62	Professional		$18.44	$18.44	$28.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $28.62	Professional		$18.44	$18.44	$28.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $23.05 / $26.46	Professional		$20.07	$23.05	$26.46
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $25.65	Professional		$18.44	$18.44	$25.65