Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $35.15 / $50.38	Facility		$16.20	$35.15	$50.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.36 / $42.73	Professional		$16.20	$16.36	$42.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $34.51 / $105.30	Facility		$17.57	$34.51	$105.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $27.31	Professional		$16.20	$16.20	$27.31
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $21.71 / $21.71	Facility		$21.71	$21.71	$21.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $27.54	Facility		$16.20	$16.20	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $21.87	Professional		$16.20	$16.20	$21.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $15.28 / $16.20	Facility		$15.28	$15.28	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $30.00	Professional		$16.20	$16.20	$30.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $30.00	Professional		$16.20	$16.20	$30.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $20.25 / $23.49	Professional		$17.68	$20.25	$23.49
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $19.01	Professional		$16.20	$16.20	$19.01