Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $30.88 / $47.39	Facility		$14.23	$30.88	$47.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.37 / $35.58	Professional		$14.23	$14.37	$35.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $25.23 / $42.41	Facility		$14.33	$25.23	$42.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $24.64	Professional		$14.23	$14.23	$24.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.23 / $21.46	Facility		$14.21	$14.23	$21.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $14.23 / $19.21	Professional		$14.21	$14.23	$19.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $14.23	Facility		$13.43	$13.43	$14.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $32.93	Professional		$14.23	$14.23	$32.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $32.93	Professional		$14.23	$14.23	$32.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $17.92 / $20.63	Professional		$15.65	$17.92	$20.63
United Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $15.94 / $17.07	Professional		$14.23	$15.94	$17.07