Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $34.89 / $91.40	Facility		$16.07	$34.89	$91.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $16.07 / $43.31	Professional		$15.74	$16.07	$43.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $28.08 / $46.15	Facility		$17.37	$28.08	$46.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $27.11	Professional		$16.07	$16.07	$27.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $27.34	Facility		$16.07	$16.07	$27.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $21.71	Professional		$16.07	$16.07	$21.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $16.07	Facility		$15.17	$15.17	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $96.29	Professional		$16.07	$16.07	$96.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $96.29	Professional		$16.07	$16.07	$96.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $22.51 / $30.28	Professional		$17.68	$22.51	$30.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $20.94	Professional		$16.07	$16.07	$20.94