Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $26.12 / $43.49	Facility		$13.06	$26.12	$43.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $13.06 / $31.66	Professional		$11.50	$13.06	$31.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $30.56 / $84.89	Facility		$19.59	$30.56	$84.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $25.56	Professional		$13.06	$13.06	$25.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $13.06 / $22.20	Facility		$13.06	$13.06	$22.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $17.63	Professional		$13.06	$13.06	$17.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $13.06	Facility		$12.32	$12.32	$13.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $44.92	Professional		$13.06	$13.06	$44.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $46.72	Professional		$13.06	$13.06	$46.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $15.94 / $18.28	Professional		$13.13	$15.94	$18.28
United Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Facility		$14.57	$14.57	$14.57
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $18.17	Professional		$13.06	$13.06	$18.17