Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $35.85 / $55.01	Facility		$16.52	$35.85	$55.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.68 / $37.67	Professional		$16.52	$16.68	$37.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $28.85 / $47.41	Facility		$17.84	$28.85	$47.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $28.60	Professional		$16.52	$16.52	$28.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $28.08	Facility		$16.52	$16.52	$28.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $22.30	Professional		$16.52	$16.52	$22.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $15.58 / $16.52	Facility		$15.58	$15.58	$16.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $26.45	Professional		$16.52	$16.52	$26.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $26.45	Professional		$16.52	$16.52	$26.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $20.65 / $23.78	Professional		$18.04	$20.65	$23.78
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $21.51	Professional		$16.52	$16.52	$21.51