Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $36.54 / $56.08	Facility		$16.84	$36.54	$56.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.59 / $40.11	Professional		$16.84	$17.59	$40.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $27.11 / $47.99	Facility		$18.19	$27.11	$47.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $28.39	Professional		$16.84	$16.84	$28.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $17.59 / $25.28	Facility		$16.84	$17.59	$25.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.59 / $22.73	Professional		$16.84	$17.59	$22.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $15.89 / $16.84	Facility		$15.89	$15.89	$16.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $36.03	Professional		$16.84	$16.84	$36.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $36.03	Professional		$16.84	$16.84	$36.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $21.98 / $24.62	Professional		$18.52	$21.98	$24.62
United Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $16.82	Facility		$16.82	$16.82	$16.82
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $21.35	Professional		$16.84	$16.84	$21.35