Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $43.45 / $69.90	Facility		$20.99	$43.45	$69.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $21.62 / $52.38	Professional		$19.03	$21.62	$52.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $36.65 / $60.24	Facility		$22.67	$36.65	$60.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $36.34	Professional		$20.99	$20.99	$36.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $35.68	Facility		$20.99	$20.99	$35.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $28.34	Professional		$20.99	$20.99	$28.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $20.99	Facility		$19.80	$19.80	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $28.18	Professional		$20.99	$20.99	$28.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $28.18	Professional		$20.99	$20.99	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $26.23 / $29.59	Professional		$22.45	$26.23	$29.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $22.48	Professional		$20.99	$20.99	$22.48